334846182-4-12-2022-09-CC-SLOZ-CDENNG-20220412103643

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334846182
Report Date: 04/12/2022
Date Signed: 04/12/2022 10:36:48 AM

Document Has Been Signed on 04/12/2022 10:36 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	NORCO MONTESSORI ACADEMY		FACILITY NUMBER:	334846182
ADMINISTRATOR:	CHRISTI PADILLA		FACILITY TYPE:	830
ADDRESS:	2200 HAMNER AVE, SUITE 110		TELEPHONE:	(626) 465-9522
CITY:	NORCO	STATE: CA	ZIP CODE:	92860
CAPACITY:	20	CENSUS: 0	DATE:	04/12/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:18 AM
MET WITH:	Christi Padilla		TIME COMPLETED:	10:35 AM

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), Samuel Lopez, arrived at the facility to conduct a Pre-licensing inspection, due to a change in ownership. The new ownership will rename the facility to Norco Montessori Academy. The proposed Infant center was toured inside and out. A Fire Clearance was granted on 2/9/2022. The days and hours of operation will be: Monday through Friday, 6:30am to 6:00pm. Measurements were taken and the following was determined: Infant Indoor Activity Areas LPA has determined that there is sufficient indoor activity space to accommodate 16 children. Infant Bathroom Fixtures 3 Potty Chairs are available for the children that will require them. Other infants will be diapered. 2 sinks x 15 = 30 infants Infant Outdoor Activity Area: LPA has determined that there is sufficient outdoor activity space to accommodate 19 children. Limiting factor for infant capacity is the square footage. Infant capacity is limited to 16 children. The following was observed: · Classrooms are adequately equipped with age and size appropriate furniture and equipment · There is a changing table within arm’s reach of a sink · Filtered water system supply drinking water in the indoor activity space · Playgrounds are enclosed by appropriate fences · Outdoor activity areas are supplied with age and size appropriate equipment

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: NORCO MONTESSORI ACADEMY	FACILITY NUMBER: 334846182
	VISIT DATE: 04/12/2022

NARRATIVE

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· There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Toxins are locked
· An adequate amount of cushioning material (synthetic grass/turf) is in place under play equipment
· Adequate shade is provided
· Drinking water is provided in the outdoor play areas by water jugs and sippy cups
· Food preparation area is equipped with refrigerator, sink with hot and cold running water, storage area, utensils, and adequate amount of food supplies
· The office area is located at the entrance of the facility and will serve as the isolation area for ill children temporarily until parents arrive
· Medication will be stored in a centralized area near the front office and will be secured in a locked cabinet
· Medication administration forms were reviewed
· First Aid kit is complete
· Sign in/Sign out record was reviewed and meets regulation requirements
· Component II Orientation was completed during the inspection
· The applicant was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· Needs and Services plans were reviewed and discussed and must be updated at least quarterly or whenever needed.
· There are sufficient cribs and/or mats for each child
· There is a separate crib/napping area
· A review of staff records on 4/12/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Director Christi Padilla was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: NORCO MONTESSORI ACADEMY	FACILITY NUMBER: 334846182
	VISIT DATE: 04/12/2022

NARRATIVE

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The applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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

LPA discussed the safe sleep regulations with Director Christi Padilla 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 Christi Padilla 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.

LPA reviewed with Director Christi Padilla the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:

1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: NORCO MONTESSORI ACADEMY	FACILITY NUMBER: 334846182
	VISIT DATE: 04/12/2022

NARRATIVE

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After touring the facility and reviewing documentation, it was determined that it was in compliance with Title 22 regulations, at this time.

A waiver for the older infants to nap in the activity area will be submitted. Once the waiver has been approved, the application will be submitted for approval with a maximum capacity of 16 infants.

Exit interview conducted and report was reviewed with the Director Christi Padilla.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2022

LIC809 (FAS) - (06/04)

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