<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343613062
Report Date: 08/15/2019
Date Signed: 08/15/2019 08:12:31 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:LITTLE BLOSSOM MONTESSORI SCHOOL, INC.FACILITY NUMBER:
343613062
ADMINISTRATOR:CHAYA SENARATH, GALLOLUWEFACILITY TYPE:
830
ADDRESS:2075 ARENA BLVD.TELEPHONE:
(916) 515-0550
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:40CENSUS: 3DATE:
08/15/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Felicia PhillipsTIME COMPLETED:
08:30 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) Christopher Bello arrived at the facility for a Plan of Correction inspection regarding the deficiencies cited on LIC809D dated 7/12/19 and LIC9099D dated 8/9/2019. LPA met with Administrative staff Felicia Phillips. Present at time of inspection were three infant children with three teachers. LPA reviewed a sample of staff files and observed Mandated Reporter Training and proof of required immunizations on file at time of inspection. LPA observed a new changing table in the Toddler two room placed in a position allowing for 100 percent visual supervision at all times.

Based upon today’s inspection, LPA observed that all deficiencies are cleared as of today.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the director and provided copies. An exist interview was conducted. LPA observed the Notice of Site Visit posted and the director understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Christopher BelloTELEPHONE: (916) 862-0844
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1