334843218-5-17-2019-09-CC-KLEG-BC9TXX-20190517150753

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334843218
Report Date: 05/17/2019
Date Signed: 05/17/2019 03:08:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	SUNNYMEAD MONTESSORI SCHOOL		FACILITY NUMBER:	334843218
ADMINISTRATOR:	TILLEKERATNE, DELRINE		FACILITY TYPE:	840
ADDRESS:	24851 BAY AVENUE		TELEPHONE:	(951) 924-1425
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92553
CAPACITY:	14	CENSUS: 11	DATE:	05/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:33 PM
MET WITH:	Delrine Tillekeratne		TIME COMPLETED:	03:20 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	((2) A random annual inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPA) Kim Leung toured the center, inside and out. The following was observed: · A review of the staff records and a review of a sampling of children's records were conducted as part of this evaluation · The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days: 1. LIC 500 Personnel Report (if changes have been made) 2. LIC 610 Emergency & Disaster Plan (if changes have been made) · The following items have been posted and are updated where necessary: - License - Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) - Parent’s Rights Poster (PUB393) - Personal Rights (LIC613A) - Child Car Seat Law - Snack Menu · The facility is operating within the terms and conditions of the license and in compliance with ratio requirements · Appropriate supervision was provided during this inspection · Classrooms are equipped with age appropriate furniture and equipment in good condition · Classrooms are clean and free of hazards · All floors are kept clean and safe · No weapons stored at the facility as stated by licensee Delrine Tillekeratne · There are no accessible bodies of water present at the time. Licensee stated that she understood that all wading pools or similar product must be emptied immediately after use and stored in an upright position. · No medications are stored for children at this time as stated by licensee · Hazards are stored where inaccessible to children which includes: disinfectants, cleaning solutions and other items that are dangerous to children · Poisons and toxins are locked · Bathrooms were observed to be safe, sanitary and in operating condition · Playgrounds are enclosed by appropriate fences and free of hazards · Outdoor activity areas are supplied with age and size appropriate equipment in good condition

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: SUNNYMEAD MONTESSORI SCHOOL	FACILITY NUMBER: 334843218
	VISIT DATE: 05/17/2019

NARRATIVE

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· No cooking is done at the facility. Children bring their own lunch. Facility provides snacks that require no cooking.
· Food is stored appropriately and protected from contamination
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
· Drinking water is readily available both indoors by use of pitcher of water, cups and water bottles, and outside by use of the drinking fountain
· Licensee agreed to place sufficient cushioning material underneath and around the climber and the Little Tikes slides to absorb falls. Pictures and written statement will be submitted by 5/20/2019.
· Sign in/Sign out records were reviewed and regulatory requirements met
· A Staff member is present with current Pediatric CPR/First Aid which expires on 8/27/2020
· Opening and closing staff member’s CPR/First Aid expires on 8/27/2020 (Daisy Delgadillo who opens) and 1/28/2020 (Alicia Estrada who closes)
· Records were reviewed ensuring the children’s files contain the names and contact information of authorized representatives and others who can assume responsibility for the child when necessary
· Records for all staff were reviewed during previous inspection. Licensee and staff have not completed the required Mandated Reporter Training yet (AB1207). Licensee agreed to submit copy of certificate of completion for herself and each staff member no later than 5/24/2019. The training is available at www.ccld.ca.gov.
· The most recent fire & earthquake drills were conducted on 4/24/2019
· A review of staff records on 5/17/2019 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· Facility is not currently providing IMS 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

Updated child care information was provided to the licensee on Facility Evaluation Report issued to the preschool program, facility #334843214, this dated on 5/17/2019.

No deficiency was cited at this time.

An exit interview was conducted and during the interview, Ms. Tillekeratne confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS. This report must be available for review, upon request, for the next 3 years.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

LIC809 (FAS) - (06/04)

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