304371203-7-24-2019-06-CC-STOE-BEDUKL-20190724153920

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371203
Report Date: 07/24/2019
Date Signed: 07/24/2019 03:39:27 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:	LIMAI MONTESSORI ACADEMY		FACILITY NUMBER:	304371203
ADMINISTRATOR:	KATIE SWAGERTY		FACILITY TYPE:	850
ADDRESS:	5309 BEACH BLVD		TELEPHONE:	(714) 690-0112
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90621
CAPACITY:	139	CENSUS: 58	DATE:	07/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:56 AM
MET WITH:	Janki Shah, Director		TIME COMPLETED:	03:50 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	Licensing Program Analyst (LPA) Stacy Torrence conducted an unannounced annual inspection to the above facility. Upon arrival LPA met with Janki Shah, Director who guided analyst on a tour of the inside and outside of the facility. The following census was taken: 20 preschool children in the Pine Room with two staff supervising; 8 toddler option children in the Lemon Room with two staff supervising; 15 preschool children in the Maple Room with two staff supervising, and 15 preschool children in the Bamboo Room with two staff supervising. Per Director there are 71 children enrolled. This program operates full day: 7:00 a.m. -6:00 p.m. and half day: 7:00 a.m.-12:30 p.m.; Monday-Friday, serving preschool children ages 2.5-4.9-year-old and toddler-option children 18-36 months. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA reviewed care and supervision of children, staffing ratios, health related services; including medications and first aid supplies, inaccessibility to poisons, and hazardous items that can pose a danger to children. Toilets and sinks were inspected to ensure they are safe and in a sanitary operating condition. Floors were inspected for safety and cleanliness. Equipment and furniture were inspected to ensure it's in good condition, free of sharp, loose or pointed parts. There was appropriate napping equipment available for children in care. Parents take children’s bedding home every Friday. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material. Shade is provided by canopies. There was adequate toys and equipment available for children. LPA observed all required forms posted. LPA observed posted menus and advised Director to update to include portion sizes. Food is prepared on site; breakfast, lunch, and PM snack are provided. Food prep areas appear clean and sanitary. Uncontaminated drinking water was readily available both indoors and outdoors. Children bring water bottles from home and facility has a water pitcher in each classroom. The facility has an updated fire drill log and children’s roster. Facility has a carbon monoxide and smoke detector. Per Director, there are no weapons, firearms in the facility. This facility utilizes an electronic sign in/out procedure.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019

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: LIMAI MONTESSORI ACADEMY	FACILITY NUMBER: 304371203
	VISIT DATE: 07/24/2019

NARRATIVE

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Per Director, for a backup plan they have a manual sign in/out. Staff's files were reviewed for education verification, CPR/First Aid, and new immunization requirements; such as, MMR, Pertussis, and Influenza vaccines, and mandated reporter training. Staff 4 was missing MMR record. A sample of children's files were reviewed for completeness of admission agreement, immunization records, and required licensing forms. Director was given a copy of the staff confidential names list.

Incidental Medical Services-IMS was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 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 at: http:/www.ada.gov/childqanda.htmThe updated plan of operation has been received in our office for providing Incidental Medical Services. (IMS).

The facility representative was informed that licensing updates, regulations, and forms are located on the CCLD website: www.ccld.ca.gov . Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov

During this inspection, there was no deficiency cited per CA Code of Regulations Title 22, Division 12. However, a Technical Violation was given for Staff 4 missing MMR records.

Report was reviewed and discussed. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The Notice of Site Visit was posted. 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. This report is to be on file and accessible for public review at the facility for at least 3 years.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019

LIC809 (FAS) - (06/04)

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