343622063-2-20-2020-03-CC-KGUA-BLYTNS-20200220135313

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343622063
Report Date: 02/20/2020
Date Signed: 02/20/2020 01:53:19 PM

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:	MARCONI MONTESSORI SCHOOL (INF)		FACILITY NUMBER:	343622063
ADMINISTRATOR:	DE SILVA, HIRESHA		FACILITY TYPE:	830
ADDRESS:	5736 NORTH AVE		TELEPHONE:	(916) 550-2354
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	30	CENSUS: 21	DATE:	02/20/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Hiresha De Silva		TIME COMPLETED:	02:15 PM

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At 12:05 p.m. on Thursday, February 20th, 2020, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Hiresha De Silva, for the purpose of an unannounced annual random inspection. Census consisted of 6 infant children supervised by 2 staff, and 15 toddler children supervised by 4 staff. Facility hours of operation are 7:00 a.m. to 6:00 p.m., Monday thru Friday.

LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Currently, no children in care require medications. Licensee stated there are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. LPA observed foam cushioning under play structure, and adequate shading provided by trees. LPA observed fencing in back portion of yard along the side of the building to be in disrepair. Licensee stated that the neighboring property is doing construction and has damaged the fence. Licensee stated that Church administration is in communication with neighboring property to fix the fence. Licensee stated that children are not allowed in the portion of the play yard with the damaged fencing and she is constructing new fencing to block off the area. LPA observed wooden fencing replacement that Licensee is preparing to be installed. Licensee requested to make side yard off limits. LPA provided form LIC999 Facility Sketch to Licensee to update facility sketch. Infant changing table is located within arm's reach of a sink and has a padded surface that is washable and at least one-inch-thick. The floors appeared clean throughout the facility. The food preparation space is free of litter, and all food was protected against contamination. Storage containers with solid waste have tight-fitting covers. Infant bottles and food in refrigerator were labeled with child's name. Licensee was reminded to include date on labeling. Menus were posted and drinking water was readily available to children both indoors and outdoors via water cooler and bottles. LPA observed full legal signatures while reviewing the sign in and sign out binder.

Report continues on 809-C.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 216-7796
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: MARCONI MONTESSORI SCHOOL (INF)	FACILITY NUMBER: 343622063
	VISIT DATE: 02/20/2020

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Staff and children's records were reviewed. Each child's file contained an emergency card, a medical assessment, and an updated Infant Needs and Services Plan. Needs and Services plans were also readily available in the classroom. At least one staff member present on the facility premises has current Pediatric CPR and First Aid certification. All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experience.

There are no firearms or bodies of water on the premises. LPA observed a carbon monoxide detector in infant classroom.

Incidental Medical Services (IMS) plan of operation is available in the facility files. 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: http://www.ada.gov/childqanda.htm.

LPA verified the annual fees are current. LPA reviewed Safe Sleep and Effects of Lead Exposure brochures with Licensee.

This facility evaluation report was reviewed and discussed with Licensee. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Licensee was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers. An exit interview was conducted.

In the areas that were evaluated, no deficiencies were observed during today's inspection.

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 216-7796
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC809 (FAS) - (06/04)

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