313623122-7-11-2019-03-CC-JMCN-BDQSGQ-20190703135219

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 313623122
Report Date: 07/03/2019
Date Signed: 07/11/2019 11:12:40 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:	WAYLAND MONTESSORI SCHOOL OF ROSEVILLE, THE		FACILITY NUMBER:	313623122
ADMINISTRATOR:	PUREWAL, AMANDEEP		FACILITY TYPE:	850
ADDRESS:	8449 SUNRISE BLVD		TELEPHONE:	(916) 722-7772
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	41	CENSUS: 0	DATE:	07/03/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Amandeep Purewal		TIME COMPLETED:	02:00 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	Licensing Program Analyst LPA Jeremey McClain met with Applicant Amandeep Purewal for the purpose of an announced pre-licensing, change of ownership inspection. The applicant is requesting a preschool license with a toddler option to serve a capacity of 29 preschool children from ages two to six, and 12 toddlers ages 18 to 36 months. The program will operate Monday through Friday from 7:00 AM to 5:30 PM. LPAs provided LIC311A and explained which documents must be posted. The facility will serve morning and afternoon snacks provided by parents on a rotational basis, and children will bring their own lunches. A fire clearance was granted for the facility on 05/24/2019. INDOOR ACTIVITY SPACE: The facility consists of an open indoor space in two separate buildings. LPAs observed a space to store napping mats, cots, and children's sheets. There is a refrigerator, a microwave, and a sink in the kitchen; the kitchen will be off-limits to the children. LPA observed the first aid kit and observed that cleaning disinfectants are inaccessible to children. Water is available at the facility and children will bring water bottles for outside use. The total indoor space was measured, and contains a total of 1,650.85 square feet, which will accommodate the applicant's request for a capacity of 41 preschool children. There are three toilets and four sinks for the children, and a separate private restroom for the staff. Children who become ill during the day will be isolated in the office area and will use the staff restroom if necessary. OUTDOOR ACTIVITY SPACE: The outdoor activity space was measured. The outdoor play area contains a total of 6,158.13 square feet, which will accommodate the applicant's request for a capacity of 41 preschool children. Both outdoor play areas are fenced and are equipped with age-appropriate equipment. There are shaded areas supplied by trees. THIS IS AN AMENDMENT OF THE ORIGINAL DOCUMENT

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

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: WAYLAND MONTESSORI SCHOOL OF ROSEVILLE, THE	FACILITY NUMBER: 313623122
	VISIT DATE: 07/03/2019

NARRATIVE

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LPA discussed 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.

This facility evaluation report was reviewed and discussed with the applicants. The applicants was encouraged to visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates.

The following items are to be submitted prior to final approval of the license:

1. Proof of Control of the property.
2. A changing table for toddlers that satisfies Title 22 Regulation 101439(h) must be obtained.
3. Applicant must obtain an equal amount of nap cots as the capacity requested.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClain	TELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

LIC809 (FAS) - (06/04)

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