<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313622396
Report Date: 12/20/2022
Date Signed: 12/20/2022 03:29:17 PM


Document Has Been Signed on 12/20/2022 03:29 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:
12/20/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Paolo SarmientoTIME COMPLETED:
04:00 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
A case management inspection is conducted today by Licensing Program Analyst (LPA) Amanda Blesi to address a deficiency which came up during interviews for a complaint investigation and the deficiency is unrelated to the complaint. During interviews staff members informed LPA that a couple months ago a group of children was transitioning from the playground to go inside and child #1, age 20 months, was inadvertently left outside without supervision for a short period until staff noticed the child through the window and brought the child inside.

This is a Zero Tolerance violation and civil penalties are assessed in the amount of $500.00. See LIC 421 M.

Title 22 Deficiencies are cited on the following page, LIC 809-D. Appeal Rights Provided.

Exit interview conducted and report was reviewed with the licensee Paolo Sarmiento.

LPA Amanda Blesi informed licensee/director, Paolo Sarmiento that this report dated 12/20/2022 document(s) one 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 Paolo Sarmiento to provide a copy of this licensing report dated 12/20/2022 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

SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2022
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


Document Has Been Signed on 12/20/2022 03:29 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: 12/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/21/2022
Section Cited

1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision for Infants: Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Paolo states the employee was immediately given a formal written reprimand. All staff were then instructed to obtain head counts of the children before and after going to the playground.
8
9
10
11
12
13
14
Child #1 was left on the playground without supervision for a period of time. This is an immediate risk to the health and safety of children in care. Civil Penalties are assessed in the amount of $500.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: 12/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2