304370495-7-31-2019-06-CC-DVAA-BELV7D-20190731161059

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370495
Report Date: 07/31/2019
Date Signed: 07/31/2019 04:11:05 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:	IRVINE MONTESSORI SCHOOL		FACILITY NUMBER:	304370495
ADMINISTRATOR:	SHARIFF, FAZREEN		FACILITY TYPE:	850
ADDRESS:	17575 CARTWRIGHT ROAD		TELEPHONE:	(949) 752-7217
CITY:	IRVINE	STATE: CA	ZIP CODE:	92614
CAPACITY:	160	CENSUS: 60	DATE:	07/31/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Fazreen Shariff, Director		TIME COMPLETED:	04:45 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 inspection was conducted at the facility by LPA Dean Valencia. The facility file was reviewed prior to this inspection being conducted. A review of staff records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearances or exemptions and a child abuse index clearance. The facility has renovated the floor plan and applied for an increase in their overall capacity to 197; and toddler option to 24, in rooms t1 and t2. The new rooms and outdoor play areas were inspected and measurements were take, and are documented on this report. Operating hours are 7am to 6:30pm, Mon-Fri. The facility was toured inside and outside and the floor and yard plan were verified. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. There were 16 staff and 60 children present during the inspection. The facility appeared clean and orderly. The items which could pose a danger to children (detergents, cleaning compounds, and medications) are stored out of the reach of children. Poisonous items are not stored on site and none were observed. Children nap on cots, and bedding is stored separately, and laundered at home on a weekly basis. Food is prepared on site; snacks are provided, and lunches are brought from home. Food prep areas appear clean and sanitary, food is properly stored. The facility has a weekly menu posted and is up to date. There is drinking water available to children both indoors and outdoors. The children's bathrooms are clean and sanitary. The facility has conducted an emergency drill within the past six months, and is documenting them. The facility has a working smoke detector, carbon monoxide detector, and fire extinguisher. The playground is completely fenced and fencing is in good repair. The playground equipment appeared in safe condition, and the play area is free from hazards. There is a separate toddler play area. Sign in/out procedure was reviewed for compliance. Staff have proof of current pediatric CPR/First Aid certification, which expires 2/2020. Child and staff files were reviewed, and are within compliance. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. (continued on LIC809C)

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

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: IRVINE MONTESSORI SCHOOL	FACILITY NUMBER: 304370495
	VISIT DATE: 07/31/2019

NARRATIVE

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Proof of immunization's against pertussis, influenza (or written declination), and measles for all employees/volunteers are on file and within compliance. All licensing reports are public information and must be made available upon request. This report was reviewed and discussed with the the care provider. Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov
Beginning March 31, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. The training certificates were reviewed and discussed with the director
A pamphlet of Effects of Lead Exposure was provided for care provider and discussed.

Exit interview was conducted, and report, deficiencies, and advisory notes was reviewed and discussed. Notice of Site Visit was posted during the visit. 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 per day. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. First level appeal is to Regional manager, address is above on the report. The facility representative was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov. and accessibility and access to the website was discussed with the care provider. This report is to be on file and accessible for public review at the facility for at least 3 years.

Once the waiver to share the outdoor play area has been approved by a manager, the application for an increase in overall capacity to 197 and toddler increase to 24 toddlers (18mo-36mo), will be submitted for managerial approval.

There were no Title 22 deficiencies cited during today's inspection.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

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: IRVINE MONTESSORI SCHOOL	FACILITY NUMBER: 304370495
	VISIT DATE: 07/31/2019

NARRATIVE

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When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 at: http://www.ada.gov/childqanda.htm

The following are measurements of the indoor classrooms:
108 (T1)= 492 sq ft = up to 14 children
109 (T2)= 466 sq ft = up to 13 children
113 (T3 and T4)= 1054 sq ft = up to 30 children
107 (P1)= 889 sq ft = up to 25 children
106 (P2)= 878 sq ft = up to 25 children
105 (P3)= 894 sq ft = up to 25 children
104 (P4)= 897 sq ft = up to 25 children
112 (P5)= 913 sq ft = up to 26 children
103 (K1)= 877 sq ft = up to 25 children
Based on indoor space limitations the facility may have up to 208 children.

The following are measurements of the outdoor play areas:
Toddler Play Area: 2782 sq ft = up to 37 children
Preschool play area: 10,902 sq ft = up to 145 children
Based on outdoor space limitations the facility may have up to 182 children. A shared outdoor play space waiver will be requested to be able to share the space, and maintain the requested capacity of 197.

The following are the number of sinks and toilets available to children in the facility:
Toilets: 16 x 15 = 240 children
Sinks: 27 x 15 = 405 children
Based on sink/toilet limitations the facility may have up to 240 children

The OCFA inspector has approved the requested capacity of 197 with up to 48 toddlers, and an approved/signed fire inspection request was received on 7/25/19.
(continued on LIC809C)

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: 714-703-2817
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2019

LIC809 (FAS) - (06/04)

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