304370486-3-5-2020-06-CC-KDEI-BMESQX-20200305130527

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370486
Report Date: 03/05/2020
Date Signed: 03/05/2020 01:05:36 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	FOOTHILL MONTESSORI SCHOOL		FACILITY NUMBER:	304370486
ADMINISTRATOR:	MUDAN, JARNAIL		FACILITY TYPE:	850
ADDRESS:	18692 EAST 17TH STREET		TELEPHONE:	(714) 731-5653
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92705
CAPACITY:	56	CENSUS: 45	DATE:	03/05/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Administrator Mudan Jarnail		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced, Required-1 year inspection was conducted on this date by Licensing Program Analyst (LPA;s) Ketki Desai and Gigi Mia. Upon arrival, LPA was greeted by Director Mudan Jarnail, who greeted the LPA's. The purpose for the inspection was stated to the Director, who then guided LPA's on a tour of the facility both inside and outside. The facility has two assigned rooms for the Montessori program. Census: Room # 1 (22 preschoolers with three staff ( 2 teachers and one aide) Room # 2 (23 preschoolers with three staff - two teacher's and one aide) . Director is also present on site All staff were verified to be cleared and associated to the pre-school. All children were verified to be signed in (Manual sign in sheets are placed in a clip board at the entrance. The Center's days and hours of operation are Mon.-Fri. 7.00 AM to 6.00 PM. Posting requirements: All posting requirements were observed on the Parent Boards. The license, Personal Rights, Child Passenger Safety Law, Exposure to Lead and Notification of Parents Rights are posted on the Parent Board to the left of the entryway of the door through which parents enter to get into the main part of the Center. Physical Plant: Director guided LPA on a tour of the pre-school classrooms and the pre-school playground. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating and air-conditioning, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with a sink and toilet was inspected. Ill children will remain in the Director's office, or in the activity room besides the DIrector's office. Availability of drinking water was reviewed. In each classroom, there are drinking fountains and Preschoolers also bring in their personal water bottles. There is a carbon monoxide detector mounted on the wall and is operable.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FOOTHILL MONTESSORI SCHOOL	FACILITY NUMBER: 304370486
	VISIT DATE: 03/05/2020

NARRATIVE

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Napping: Children nap in the classrooms on the cots. Linens and blankets are provided by the facility and they are laundered on the premises on a weekly basis.
Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed.

Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. There is concrete area, grass area and wood chip cushioning underneath the playground equipment. The pre-school teachers bring all two groups at a time. There is drinking fountain and restroom is easily accessible to children. The playground is surrounded on all four sides by a five foot fence. The play area was inspected for hazards and inaccessibility to bodies of water. The toys are stored on the playground shed which remains locked.

Food Service: This facility does not have a kitchen area, only Milk is provided by the facility and children bring in their own snacks and lunch and they are stored in classrooms and food is warmed up if needed by the staff. Facility also has back up snacks if needed.

All staff are current on the required First Aid and CPR training, which is valid through 09/07/2021

Health related Services: There is one First Aid Kit hung at the end of the classroom door leading towards the play yard, in each classroom. A review of medication policy, including administering, labeling, storage, and records was made.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173
101226. The following information regarding ADA was provided: US Department of Justice (USDOJ)
toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available athttp://www.ada.gov/childqanda.htm www.ada.gov/childqanda.html. Currently there is one child enrolled who receives Incidental Medical services. Medication is stored in the classroom on the top shelf and is administered on PRN basis.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FOOTHILL MONTESSORI SCHOOL	FACILITY NUMBER: 304370486
	VISIT DATE: 03/05/2020

NARRATIVE

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First Aid supplies were observed in the classroom in a cabinet. According to the Director medication is only administered to a child when accompanied with a doctor's note and is stored in the office in a locked cabinet.
Transportation: This facility does not provide transportation for pre-schoolers.

An Emergency Disaster Drill log is kept. The last fire drill was ran 3/5/2020

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The Facility Director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

In the areas that were evaluated, there were no deficiencies cited under California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview was conducted. The report was reviewed and discussed. Appeal Rights discussed and provided to the facility Director.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki Desai	TELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

LIC809 (FAS) - (06/04)

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