304371233-3-3-2021-06-CC-STOE-BYS2VQ-20210303164415

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371233
Report Date: 01/07/2021
Date Signed: 03/03/2021 04:44:24 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:	GUIDEPOST MONTESSORI AT LAS FLORES		FACILITY NUMBER:	304371233
ADMINISTRATOR:	HSU, AMANDA		FACILITY TYPE:	850
ADDRESS:	28672 DEERPATH		TELEPHONE:	(949) 339-2010
CITY:	RANCHO STA MARGARITA	STATE: CA	ZIP CODE:	92688
CAPACITY:	60	CENSUS: 1	DATE:	01/07/2021
TYPE OF VISIT:	Case Management - COVID-19	ANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Zoey Luo, Assistant Teacher		TIME COMPLETED:	05:00 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	On 01/07/2021, at 4:00 p.m., Licensing Program Analyst (LPA), Stacy Torrence conducted a virtual inspection with Zoey Luo, Assistant Teacher. The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. Due to COVID-19 state of emergency a waiver to operate a pilot program to run small cohort home based stable group of approximately 3 to 5 preschool children in one of their parent’s home during COVID-19 outbreak, waiver was granted on 11/19/2020 for the facility to care for children ages 3 to 5 at the above address due to COVID-19. The facility is a two-story home. The first floor is designated as the daycare area. There is a safety gate located at the bottom of the stairs, ensuring the second floor is inaccessible to children in care. Check-in take place at the front gate of the home; where parents drop and pick up children. Parents are not allowed inside the home. Upon arrival children’s temperature is taken and they immediately wash their hands. If children become ill during the day, they remain at their desks, which are positioned, 6 ft. away from each other. There is one bathroom, on the 1^st floor, that is utilized as the isolation bathroom. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. No more than 16 individuals in a cohort and groups must be kept physically separated. Age appropriate furniture including tables and chairs are present in each of the rooms to meet the needs of children in care. The bathroom is located on the 1^st floor, in the hallway. There are safety latches on the drawers, located in the bathroom. There is one toilet and one sink available. There is a designated outdoor play area with age appropriate equipment and activities. Drinking water readily available through the use of personal water bottles. The host family has a water filter to provide extra water to the children in care. Continue on next page (1 of 2)

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

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

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: GUIDEPOST MONTESSORI AT LAS FLORES	FACILITY NUMBER: 304371233
	VISIT DATE: 01/07/2021

NARRATIVE

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The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies,

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Orange County Child Care Office at (714) 703-2800.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2021

LIC809 (FAS) - (06/04)

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