343620636-11-19-2019-03-CC-MLOR-BJ3PWA-20191119104026

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343620636
Report Date: 11/19/2019
Date Signed: 11/19/2019 10:40:35 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:	MONTESSORI COUNTRY DAY AT RIVERLAKE		FACILITY NUMBER:	343620636
ADMINISTRATOR:	RUIZ, MARTHA		FACILITY TYPE:	830
ADDRESS:	7575 RUSH RIVER DRIVE		TELEPHONE:	(916) 394-0701
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95831
CAPACITY:	12	CENSUS: 8	DATE:	11/19/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	07:15 AM
MET WITH:	Martha Ruiz		TIME COMPLETED:	11:00 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 Analysts (LPAs) Mai Lor and Christopher Bello conducted an unannounced annual random inspection for the infant program. LPAs met with Director Martha Ruiz. A tour of the infant area was conducted. LPAs observed eight infants supervised by four staff. Facility hours operation are Monday through Friday; 7:00 AM to 6:00 PM. The infant indoor and outdoor activity space is physically separate from the space used by other day care children. Infant furniture and equipment are sufficient, age appropriate and in good repair. Toys are safe, without sharp points, edges, splinters or small parts that can be pulled off and swallowed. Facility is in compliance with staff infant ratios. Electronic sign in/sign out have full legal signature and record of time of day. Staff utilized as infant teachers have three child development units in infant/toddler care. There are no bodies of water on the premises. Firearms and ammunition are not on the premises. Director stated there are no poisons on premises. Disinfectants, hazardous items and medications are inaccessible to children. A current disaster drill log and children roster were observed. Rooms are safe and clean. The facility is in compliance with conditions and limitations specified on the license. All staff subject to a criminal record clearance or exemption are associated to the facility. At least one staff on site has a current Pediatric First Aid/CPR which expired in 09/2021. A random sample of staff and children records were reviewed and contained all of the required documentation. Needs and Services plans reviewed for some infants and are updated as necessary. (Report continued on page 2)

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

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: MONTESSORI COUNTRY DAY AT RIVERLAKE	FACILITY NUMBER: 343620636
	VISIT DATE: 11/19/2019

NARRATIVE

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The facility is providing Incidental Medical Services. 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: www.ada.gov/childqanda..

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised licensee of their responsibility to stay current in regards to new regulations.

Lead Exposure Effect and Safe Sleep brochure was reviewed and provided to the facility.

No Title 22 Regulations cited during this inspection. Exit interview conducted. Notice of Site Visit was provided and posted.

SUPERVISOR'S NAME: Roxana Saravia	TELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019

LIC809 (FAS) - (06/04)

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