343622013-11-8-2019-03-CC-KFEA-BHQPH5-20191108101923

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343622013
Report Date: 11/08/2019
Date Signed: 11/08/2019 10:19:36 AM

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:	SUNDANCE MONTESSORI SCHOOL, INC.		FACILITY NUMBER:	343622013
ADMINISTRATOR:	HOLDEN, DOREEN		FACILITY TYPE:	850
ADDRESS:	216 NATOMA STREET		TELEPHONE:	(916) 985-6034
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	60	CENSUS: 44	DATE:	11/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Doreen Holden		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 Analyst (LPA) Kelly Ferrara met with the Director Doreen Holden 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. Appropriate ratio and care and supervision were observed during today's inspection. Census included 44 preschool children being supervised by five staff plus the Director. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Facility hours of operation are Monday through Friday from 7:30 AM - 6 PM.

Classrooms all appeared clean including the carpets and floor. Playground equipment and surfaces are free of loose or sharp parts and ample shade is provided by trees. 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 a functioning smoke and carbon monoxide detector in each building. Menus were posted for AM and PM snack and children bring their own lunches. All required licensing documentation was posted for parental review. LPA observed binders where parents are signing their children in and out of the center.

A sample of children and staff files were reviewed. Each child's file had the required licensing documentation and LPA advised the Director that new Immunization Cards will be required beginning in January 2020. Each staff has required documentation and have completed the Mandated Reporter training. LPA advised that this training must be done every two years. At least one staff had a current Pediatric CPR and First Aid certification that expires in September 2021. LPA observed a current children's roster and fire drill log with the last drill conducted in November 2019.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

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 2

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: SUNDANCE MONTESSORI SCHOOL, INC.	FACILITY NUMBER: 343622013
	VISIT DATE: 11/08/2019

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
26
27
28
29
30
31
32

Incidental Medical Services (IMS) is provided at this center. LPA observed that there are children enrolled that require IMS services. LPA observed the medication in the original packaging with instructions for use. 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. The 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 Active Supervision handout and a copy of the Effects of Lead Exposure brochure. LPA discussed with the Director Assembly Bill 2370, which will require licensed Child Care Facilities to test their water for excessive amounts of lead. Testing will be required beginning January 1, 2020.

A notice of site visit was provided and should remain posted for a period of 30 days for parental review. There were no citations issued based on today's inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2