340309722-9-4-2019-03-CC-KFEA-BFPTC3-20190904143604

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 340309722
Report Date: 09/04/2019
Date Signed: 09/04/2019 02:36:11 PM

COMPREHENSIVE INSPECTION

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:	FOLSOM MONTESSORI SCHOOL		FACILITY NUMBER:	340309722
ADMINISTRATOR:	WITTHAUS,LISE		FACILITY TYPE:	850
ADDRESS:	502 RILEY STREET		TELEPHONE:	(916) 351-0345
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	40	CENSUS: 13	DATE:	09/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Lise Witthaus		TIME COMPLETED:	02:50 PM

NARRATIVE

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Licensing Program Analyst (LPA) Kelly Ferrara met with Director Lise Witthaus for the purpose of an unannounced random annual inspection. LPA toured the facility including all activity and classroom spaces, restrooms, food service and outdoor play area. All staff currently employed at the facility has a criminal record clearance and are associated to the license. Appropriate ratio and care and supervision were observed during today's inspection. Census included 13 preschool children being supervised by three staff. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. The facility operates according to the Folsom Cordova School District schedule and has a morning and afternoon program. The morning program operates from Monday through Friday 8:30 AM-11:45 AM and the afternoon is 1:00 PM- 4:00 PM.

There are two separate classrooms and each appeared clean including the carpets and floor. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under the climbing equipment are cushioned with a resilient material to absorb a fall and there is adequate shade. Uncontaminated drinking water was readily available to children both indoors and outdoors. Bathrooms were clean and all sinks and toilets were in operating condition. There are no firearms or bodies of water on the premises, and the facility has at least one functioning carbon monoxide detector. The facility does not provide naps or lunch, however snack menus were posted and is provided by the parents. LPA observed all required licensing documentation was posted for parental review and parents were signing their children in and out of the facility.

A sample of children and staff files were reviewed. All children and staff files contained the required documentation. At least one staff present today has current Pediatric CPR and First Aid certification that expires in August 2021. LPA observed a current children's roster and a fire drill has not yet been conducted for this school year. LPA observed that all staff had completed the Mandated Reporter training and LPA advised this must be completed every two years.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5935
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

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: FOLSOM MONTESSORI SCHOOL	FACILITY NUMBER: 340309722
	VISIT DATE: 09/04/2019

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Incidental Medical Services (IMS) is provided by the center. Medication is kept in the original packaging and staff have been trained. The facility has a first aid box with ample supplies. For additional IMS information, director was advised to see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 Director. Director was encouraged to the visit the departments website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers. LPA gave the Director a hand out on the Effects of Lead Exposure and a hand out on Active Supervision. A notice of site visit was provided and should remain posted for a period of 30 days for parental review.

Based on today's inspection, there were no deficiencies cited.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

LIC809 (FAS) - (06/04)

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