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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313622396
Report Date: 01/04/2023
Date Signed: 01/04/2023 11:38:10 AM


Document Has Been Signed on 01/04/2023 11:38 AM - 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: DATE:
01/04/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Angie DavidTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Amanda Blesi and Lea Habtom arrived to the facility at 9:30 AM on Wednesday, January 4, 2023 for a case management visit to clear deficiencies that were cited on December 20, 2022. Upon arrival LPAs observed 6 toddlers supervised by staff #1 and staff #2. There were 6 infants in the napping area supervised by staff #3 and staff #4. During today's inspection LPAs observed child #1 swaddled while sleeping in a crib. This is a violation of Safe Sleep Regulations and a Type A deficiency was issued during the inspection.

LPAs observed the facility was in ratio and using qualified staff today and the Type A deficiencies cited on December 20, 2022 are cleared during today's inspection. Notice of clearance letter provided to Paolo.

LPAs observed the Notice of Site Visit from inspection dated 12/20/22 was not posted at the facility. Civil Penalties are assessed in the amount of $100. See LIC 421 CC.

Title 22 Deficiency has been cited on the attached LIC 809-D. LPA Amanda informed facility representative Paolo Sarmiento that this report dated 1.04.2023 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 1/04.2023 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 facility representative Paolo Sarmiento. 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.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Amanda BlesiTELEPHONE: (916) 208-3427
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023
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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Document Has Been Signed on 01/04/2023 11:38 AM - 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: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/05/2023
Section Cited

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Infant Activities: An infant shall not be swaddled while in care. This requirement was not met as evidenced by: LPAs Blesi and Habtom observed Child #1 swaddled while in care. If not corrected, this is an immediate risk to the health and safety of children in care.
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LPAs discussed safe sleep practices with staff and staff immediately removed the swaddle from child #1. Deficiency corrected during inspection today.

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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: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/04/2023 11:38 AM - 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: 01/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/20/2023
Section Cited

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Notice of Site Visit Posting Requirement: The notice posted pursuant to subdivision (a) shall remain posted for 30 consecutive days, except that a family day care home shall comply with the posting requirements contained in this subdivision only during the hours when clients are present.
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LPA provided another notice of site visit dated 12/20/22 and LPAs observed director post it at the end of the inspection.
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(2) Failure by a licensed child day care facility or a family day care home to comply with paragraph (1) shall result in an immediate civil penalty of one hundred dollars ($100). This requirement was not met when LPAs Blesi and Habtom observed facility failed to post the notice of site visit with Type A and Type B deficiencies from inspection dated 12/20/22. Civil Penalties are assessed in the amount of $100.
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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: 01/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2023
LIC809 (FAS) - (06/04)
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