304371234-8-20-2019-06-CC-MMAK-BF8PR5-20190820113211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371234
Report Date: 08/20/2019
Date Signed: 08/20/2019 11:32:16 AM

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:	304371234
ADMINISTRATOR:	HSU, AMANDA		FACILITY TYPE:	830
ADDRESS:	28672 DEERPATH		TELEPHONE:	(949) 339-2010
CITY:	RANCHO STA MARGARITA	STATE: CA	ZIP CODE:	92688
CAPACITY:	42	CENSUS: 17	DATE:	08/20/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Assistant and director		TIME COMPLETED:	09:45 AM

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	Pg 1 An unannounced annual inspection was conducted today by Licensing Program Analyst (LPA), Mahnaz (Nancy) Malek who met with assistant director, Jennifer Aguilar. LPA met with director, Amanda Hsu during inspection. LPA also met with applicant, Aaron Bailey during inspection. Census was taken and there were a total of 17 infants and toddlers with 7 staff in 4 different rooms. There was one staff with 3 toddlers in room # 1, and 6 infants with 3 staff in room # 2, and one staff with 3 toddlers in room # 3, and 5 toddlers with two staff in room # 4 observed. The facility has sent a new sketch to our office that rooms # 1, 3. and 4 are for toddlers from Toddler Option Program ages 18 to 36 months old, and room # 2 is for infants from 6 weeks to 18 months old. During inspection one staff was observed with napping infant in the napping area. LPA advised the staff to be in the infant area to supervise the children at nap time too. 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. The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture was inspected to ensure it's in good condition, free of sharp, loose or pointed parts. The bins had tight fitting covers. The napping area is separated from the activity are and has sufficient infant napping equipment. There is no walkers on the premises. The changing table is within the arm's reach of a sink. Bottles and dishes are labeled with the current date and children's names. The infants and toddlers were being supervised in the awake area and the napping area. There are no weapons, firearms or bodies of water in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment. The applicant and director was reminded that the play structure located in the Toddler Option playground states ages 2 to 5 years old according to manufacturer's guide. Children under two years old are not to use this play equipment. Staff's files were reviewed for education verification, CPR/First Aid, infant/toddler units, and new immunization requirements for Continued on page 2

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019

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: 304371234
	VISIT DATE: 08/20/2019

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
26
27
28
29
30
31
32

Page 2
(MMR, Pertussis, and Flu vaccines). A sample of children's files were reviewed for completeness of medical assessment, and verification of sign in/out including time the child was signed in/out by authorize representative as well as verification of representatives full legal signature. (The facility has an electronig sign in/out procedure)The facility's individual feeding plan for each infant reviewed and infants have an infant Needs and Services Plan. LPA reviewed storage of medication and equipment /supplies, and reviewed children's, personnel, and administrative records. Mr. Bailey agrred to send an updated plan of operation for providing IMS services to our office. For IMS information see Evaluator Manual Regulation Interpretations and Procedures for Child Care Centers Sections 101173 Child Care Centers and the ADA, available at http://www.ada.gov/child qanda.htm.
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. The licensee was provided a copy of their appeal right (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. The facility representative was informed that they can refer to our Department website at www.ccld.ca.gov for obtaining the quarterly updates. Exit interview was conducted. The facility representative was informed that the Criminal Record Statement (LIC 508) has been updated, and the facility must now use the new form
with revised date 7/15. The facility representative was also informed that the LIC 508 must be submitted with all Criminal Background Clearance Transfer Request (LIC 9182).
Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org

A copy of child care provider's guide to safe sleep pamphlet and a copy of Never Ever Shake a Baby pamphlet with the website www.dontshake.org were given to the facility representative on the previous inspection. An updated pamphlet regarding safe sleep regulations in childcare and a pamphlet for lead poisoning facts were given to the director today.

In the areas that were evaluated, the facility was in compliance of the California Code of Regulations, Title 22, Division 12. No deficiencies were cited.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Mahnaz Malek	TELEPHONE: (714) 292-9851
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2