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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313622396
Report Date: 03/15/2022
Date Signed: 03/15/2022 03:55:36 PM


Document Has Been Signed on 03/15/2022 03:55 PM - It Cannot Be Edited

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:BAMBINI MONTESSORI (INF)FACILITY NUMBER:
313622396
ADMINISTRATOR:PAOLO SARMIENTOFACILITY TYPE:
830
ADDRESS:821 STERLING PARKWAY, STE 100TELEPHONE:
(916) 434-7000
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:28CENSUS: 18DATE:
03/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Paolo SarmientoTIME COMPLETED:
04:00 PM
NARRATIVE
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All times on this report are approximate. At 11:30am, Licensing Program Analyst (LPAs) Amanda Blesi and Amanda Sutter arrived at the facility and met with Director Paolo Sarmiento for a required 1-year unannounced Annual inspection. LPAs toured the facility inside and out including all activity and classroom spaces, restrooms, food service and outdoor play areas. At 11:35am, LPA Sutter observed 6 infants being cared for by staff # 1 and staff #2 who are not qualified to be left alone with infants. Staff #3 and staff #4 were supervising 12 toddlers and were not qualified.

Toxic and hazardous items were not appropriately stored. LPAs observed chemicals and cleaning supplies accessible when the cabinet in the kitchen as well as the cabinet in the bathroom contained cleaning supplies are were not safety latched. Director immediately removed the chemicals to a secure area and deficiency corrected during inspection. Furniture and materials are in good condition. Playground equipment and surfaces are free of loose or sharp parts. There are no climbing structures for infant use indoors or outdoors. Infant changing table was within arms reach of a sink. Sufficient napping equipment was available. LPA reminded the Director that napping infants must have 100% visual supervision at all times. The food preparation space is free of litter. All food was protected against contamination. Trash cans containing solid waste had lids. Uncontaminated drinking water was readily available to children both indoors and outdoors. Menus were posted and facility utilizes electronic sign in and out system. LPA reminded staff that infant bottles, dishes and containers must be labeled and dated per regulation section 101427(j).



Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. Report continued on 809 C
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BAMBINI MONTESSORI (INF)
FACILITY NUMBER: 313622396
VISIT DATE: 03/15/2022
NARRATIVE
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A sample of children's records were reviewed. Quarterly updated Needs & Services plans were observed. A sample of staff records were reviewed. All staff currently present at the facility has obtained a criminal record clearance. A health screening report, and three child development units in infant/toddler care for an infant teacher was observed. The training is free of cost and available at: http://www.mandatedreporterca.com/ . Director understands that the certificate must be renewed every two years and proof of completion must remain in the employee’s file. No baby walkers, infant bouncers, saucer chairs, Johnny Jumpers, or taco sleepers were observed on the premises. There are no firearms or bodies of water on the premises. LPA reviewed Departments inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

LPA discussed Assembly Bill 2370, which will require licensed Child Care facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1st, 2020 to January 1st, 2023 and must be conducted every five years from initial testing.

Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment



Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided an updated 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: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
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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: BAMBINI MONTESSORI (INF)
FACILITY NUMBER: 313622396
VISIT DATE: 03/15/2022
NARRATIVE
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LPA discussed with owner Paolo the application for change of ownership for Bambini Montessori has been pending over 90 days. LPA is requesting that Paolo submit a statement indicating weather he would like to withdraw the application or complete the licensing process. If he is to continue the licensing process, the application must be completed, including an an approved fire clearance, within 15 days.

Title 22 Deficiency has been cited on the attached LIC 809-D. LPA Amanda Blesi informed licensee Paolo Sarmiento that this report dated 3/15/22 document(s) 2 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.
Also, LPA Amanda Blesi informed the licensee to provide a copy of this licensing report dated 3/15/22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee Paolo Sarminto. A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 03/15/2022 03:55 PM - It Cannot Be Edited

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: BAMBINI MONTESSORI (INF)

FACILITY NUMBER: 313622396

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above in LPAs observed cleaning supplies ( bleach, Windex, powdered scrub) under the kitchen sink and the bathroom sink. The cabinets were not secured with a child safety latch making the items accessible to children. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/16/2022
Plan of Correction
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Director Paolo immediately removed the items during the inspection. Deficiency corrected.
Type A
Section Cited
CCR
101429(a)(1)
Responsibility for Providing Care and Supervision for Infants
(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, LPAs observed a staff leave the infant napping room for about 1 minute. This occurred two times at 2:15pm and again at 2:22pm which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/16/2022
Plan of Correction
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LPAs addressed this incident with Paolo and he immediately spoke to staff and reminded them that infants shall be under visual supervision 100% of the time. Deficiency corrected.

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: 03/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/15/2022 03:55 PM - It Cannot Be Edited

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: BAMBINI MONTESSORI (INF)

FACILITY NUMBER: 313622396

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101416.5(b)
Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPAs observed an aide S1 left alone supervising a group of 5 infants which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/16/2022
Plan of Correction
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Paolo corrected the ratio during the inspection.
Type A
Section Cited
CCR
101416.5(b)(1)(A)
Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants, and

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation there was no fully qualified teacher present in the infant or toddler room which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/16/2022
Plan of Correction
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Paolo states he will submit a staffing plan to LPA to correct the deficiency.

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: 03/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2022
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Document Has Been Signed on 03/15/2022 03:55 PM - It Cannot Be Edited

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: BAMBINI MONTESSORI (INF)

FACILITY NUMBER: 313622396

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(e)(4)
Fixtures, Furniture, Equipment and Supplies
(4) All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition. Additional equipment, aids and/or conveniences shall be provided as needed in centers that serve children with physical disabilities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the toilet in the infant bathroom was clogged and unusable which poses a potential health, safety or personal rights risk to persons in care if not corrected..
POC Due Date: 03/29/2022
Plan of Correction
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Paolo states a child threw a toy in the toilet which casued it to clog. To correct the deficiency, proof of repair shall be sent LPA by correction date of 3/29/22
Type B
Section Cited
CCR
101430(a)(3)(A)(4)
Infant Care Activities
(A) Staff shall place infants up to 12-months of age on their backs for sleeping. (4) Infants with an Individual Infant Sleeping Plan [LIC 9227 (3/20)] that have Section C of the form completed and signed by an authorized representative shall be placed on their back when first laid down to sleep. In the event the infant changes position, the infant may remain in the alternative position.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review children's files did not contain a Infant Sleep Plan which poses potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/29/2022
Plan of Correction
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Paolo shall ensure that all infants 12 months and under have a sleep plan in their file. To correct the deficiency, Paolo shall send LPA a completed sleep plan for an infant under 12 months.

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: 03/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2022
LIC809 (FAS) - (06/04)
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