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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371471
Report Date: 02/26/2021
Date Signed: 02/26/2021 12:36:43 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:MONTESSORI GREENHOUSE SCHOOLSFACILITY NUMBER:
304371471
ADMINISTRATOR:LAMBERT, HEATHERFACILITY TYPE:
850
ADDRESS:5856 BELGRAVE AVENUETELEPHONE:
(714) 897-3833
CITY:GARDEN GROVESTATE: CAZIP CODE:
92845
CAPACITY:106CENSUS: 46DATE:
02/26/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Administrator Ms. Lambert,HeatherTIME COMPLETED:
12:45 PM
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Licensing Program Analyst’s (LPA’s) Ms. Nguyen Tina and Ms. Ketki Desai conducted an announced on site pre-licensing inspection at the proposed childcare center. It is Change of Ownership along with addition of a new Toddler component attached to the Preschool license.
LPA's met with Director Ms. Lambert Heather, who gave a tour of the Child Care Center. The applicant has requested to provide care and supervision for 88 Pre-school age children 2 to 6 years of age, and 18 Toddlers (18 months to 36 months) Total of 106 children Monday through Friday, 7.00 am. to 6.00 PM. in the assigned five classrooms.

A review of the Facility Personnel Report Summary on this date 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 children shall have access through the main entrance of the facility, (metal door besides the elevator) Parents shall ring the doorbell to gain access to the facility. However, at this time due to COVID Pandemic parents are not allowed inside, children are received at the entrance door by the staff, temperatures are checked, hands are sanitized before they are taken to their classrooms. Parents sign them in at the entrance manually, currently outside visitors are not allowed in the facility.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
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 6
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: MONTESSORI GREENHOUSE SCHOOLS
FACILITY NUMBER: 304371471
VISIT DATE: 02/26/2021
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Medication will be stored in each classroom in a locked cabinet and shall be administered by the teacher or the Facility in charge, emergency First Aid kits are stored in the classroom in assigned cabinets. Medication administration forms were reviewed.
Isolation area is the Director’s office area, an additional mat is in place for the sick child and the bathroom, located in the Director’s office area shall be used during this time

The following were inspected in the indoor activity space:
· Classroom are adequately equipped with age and size appropriate furniture and equipment
· Drinking water is available inside through water fountains, pitchers as well as individual sports bottles if they prefer
· Sign in/Sign out procedure was reviewed and meets regulation requirements (manual sign in and out)
· There is a working smoke detector, carbon monoxide detector and fire extinguisher that meet statutory requirements
· Cubbies available for storage of individual child’s personal belongings and/or bedding
· Napping equipment: Mats are used and are stored in the corner of each room. Napping linens are brought from home
· Facility shall provide two snacks through the day, while lunch shall be brought from home and stored in their individual bags in their cubbies.

LPA discussed the posting requirements including, but limited to, the following:
· Facility License in public area (101160)
· Emergency Disaster Plan (LIC 610)
· Earthquake Preparedness Check List (LIC 9148)
· Parents’ Rights Poster (PUB 393)
· Personal Rights (LIC 613A)
· Menus
· Activity Schedule
· Notice of Site Visit (LIC 9213) and Type A deficiencies
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: MONTESSORI GREENHOUSE SCHOOLS
FACILITY NUMBER: 304371471
VISIT DATE: 02/26/2021
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· Plan of Corrections of Type A deficiencies
· Granted Waivers (available for review)
· Child Car Seat Law (PUB 269)
· COVID Posters

The indoor activity space: There are Five assigned rooms,
ROOM IDENTIFICATION LENGTHWIDTH
AREA
ENCUMBERED
SPACE
Room # 5 (Preschool)
38.75
23.33
904.04
87.53
816.51
Room # 1(Preschool)
36.5
22.92
836.58
62.82
773.76
Room #4 (Toddlers)
21.08
23.33
491.80
52.56
439.24
Room # 4 (Toddlers)
23.33
17.17
400.58
15.03
385.54
Room # 2 (Preschool)
38.92
23.33
908.00
191.69
716.32
Room #3 (Preschool)
38.92
23.25
904.89
64.40
840.49


Total indoor space = 3971’86 divided by 35= 113.48 (113 children)
Capacity requested: 106 (88 preschool and 18 toddlers)

Total sinks: 12 X 15= 180 (children)
Total Toilets: 10 X 15= 150 (children)

LPA observed sinks and bathrooms located inside the classrooms. Toilets and sinks were observed to age appropriate in all the bathrooms observed. Bathrooms are shared in between classrooms and were observed to be clean and accessible to children.

The following were inspected in the outdoor activity space;
· Playground is fully enclosed by an appropriate fencing
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: MONTESSORI GREENHOUSE SCHOOLS
FACILITY NUMBER: 304371471
VISIT DATE: 02/26/2021
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· Drinking water is available outdoors by water fountains, water pitchers and personal water bottles.
· Outdoor activity space is supplied with age and size appropriate equipment, including climbing play structures and outdoor activity toys
· An adequate amount of cushioning material consisting of wooden chips is in place under the play structures
· Adequate shade is provided by shaded patio area.
· Open concrete area designated as preschool play yard.

Outdoor space measurements: Facility has three designated yards for Preschool and one for the Toddler classrooms,

Toddler yard: 112 X 17 = 1904.00
Preschool Yard Grass: 52 X 47 =2440.00
Preschool Wooden chip & Playground: 106’67 X 59’27 = 6329’19

Total Outdoor space: 10668’19 Divided by 75= 142.24 (142 children)


Based on the indoor and Outdoor measurements, sink and toilet availability, facility has enough space to accommodate the requested capacity for 106 children: 88 Preschool age children (age 2- 6 years) and 18 Toddlers in (18-26 months) in the assigned classrooms.

Fire clearance received from Orange County Fire inspection services office on 2/24/21 have approved the requested capacity of 106 Children (88 preschool and 18 toddlers).


Facility Administrator is current on the required Immunization/ Pediatric CPR/ First training valid through September 2022 and have provided the completion certificate for the Preventive Health training (Lead component)
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: MONTESSORI GREENHOUSE SCHOOLS
FACILITY NUMBER: 304371471
VISIT DATE: 02/26/2021
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Facility has completed the new Water testing requirement and the analytical report is on file.

LPAs discussed with the applicant that all employees must have criminal record clearances associated to the facility prior to their presence in the facility, staff to child ratio requirements, direct visual supervision requirements, emergency/disaster drills, children records, mandated reporter training, and staff immunization requirements against measles, pertussis, and influenza. Applicant was advised the children's bedding must be stored individually and may not touch another children's bedding.

The applicant was given a pamphlet on Lead Exposure and was discussed with provider. Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org. The Chaptered Legislation for AB 2084 (Nutritious Beverages) is available to view on the website at: http://ccld.ca.gov/res/pdf/12APX-11.pdf

Applicant was informed of Mandated Reporter Training for self and all assistants. Department web site form was given to down load forms, Title 22 regulations, and training's on-line at www.ccld.ca.gov. The applicant was also informed to visit the website for Quarterly Updates. The applicant was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov. or at www.ccld.ca.gov

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 applicant/facility representative 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

A copy of the 2016 “A Child Care Providers Guild to Safe Sleep” was provided to the applicant/facility representative.
English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf
Spanish: https//www.cdph.ca.gov/programs/SIDS/Documents/ChildCareProvSleepSPAN2011.pdf
AAP:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: MONTESSORI GREENHOUSE SCHOOLS
FACILITY NUMBER: 304371471
VISIT DATE: 02/26/2021
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https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative


The facility was following Title 22 requirements at the time of the inspection. Based on today’s measurements, and the sink and toilet availability, this center has enough activity space to support the capacity of 106 Children.: 88 Preschool and 18 Toddlers in the assigned 5 classrooms.
A license will be issued for the capacity requested after a final review. The applicant will be notified if any additional information is required.

Applicant was also advised, once licensed, the Notice of Site Visit must be posted for 30 days and if A violations are cited then the Licensing Report (LIC809 or 9099) must be posted by the Notice of Site Visit for a period of 30 days or $100 civil penalties will be assessed, and the report shall posted and copies provided to the parents/guardians of the children in care at the facility by the next business day, and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file
Exit interview was conducted and a copy of this report was provided to the director on this date.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The applicant was provided a copy of their appeal rights (LIC 9058 12/15) 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
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC809 (FAS) - (06/04)
Page: 6 of 6