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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313617640
Report Date: 01/18/2022
Date Signed: 01/18/2022 11:23:24 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:MORNINGSTAR MONTESSORIFACILITY NUMBER:
313617640
ADMINISTRATOR:PERKINS, BRITTANYFACILITY TYPE:
850
ADDRESS:218 5TH STREETTELEPHONE:
(916) 645-1324
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:27CENSUS: 17DATE:
01/18/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Serena Green TIME COMPLETED:
11:45 AM
NARRATIVE
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LPA is conducting a case management inspection to address issues that were brought to LPA's attention and are not related to the complaint investigation. LPA learned that the director, Brittany Perkins, had been living out of state for a period longer than 30 days. In addition, LPA learned staff have been using the children's restroom.

Owner/director, Brittany Perkins, was out of town at the time of today's inspection, therefore the issues were discussed with facility representative Serena Green.

LPA observed 17 children in care supervised by Ms. Jessica and Ms. Serena.

Deficiencies are noted on the following page LIC 809-D
Technical advisory noted on LIC

Report discussed with facility representative, Serena Green.
Appeal Rights provided.
Notice of site visit provided.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: MORNINGSTAR MONTESSORI
FACILITY NUMBER: 313617640
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/01/2022
Section Cited

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Reporting Requirements: The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s)
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This requirement was not met as evidenced by: the director had moved out of state for a period longer than 30 days. The department was notified of this change.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2022
LIC809 (FAS) - (06/04)
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