376701467-9-29-2020-20-CC-MMAE-BTWS4X-20200929133327

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701467
Report Date: 09/29/2020
Date Signed: 09/29/2020 01:33:32 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	KINDERLAND MONTESSORI		FACILITY NUMBER:	376701467
ADMINISTRATOR:	CAROLINA VALENCIA		FACILITY TYPE:	840
ADDRESS:	625 OTAY LAKES ROAD		TELEPHONE:	(619) 479-4007
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	26	CENSUS:	DATE:	09/29/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Carolina Valencia		TIME COMPLETED:	01:40 PM

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	On 09/29/20 at 8:30am, Licensing Program Analysts (LPAs), Martha Malane and Rajani Goudreau arrived at the facility to conduct a pre-licensing inspection. Upon arrival, LPAs met with applicants, Carolina Valencia and Vanessa Valencia and proceeded to tour the facility. Applicant is requesting a capacity of 52; serving School Age children ages 5 – 12 years old. The school age program operates in classrooms #3, #4 and #5. Applicant plans to operate Monday - Friday from 7:00 a.m. to 6:00 p.m. All classrooms were inspected and measured during this inspection and measure: · Room #3: School Age classroom (5 - 12 years): measured a total of 908.63 square feet · Room #4: School Age classroom (5 - 12 years): measured a total of 898.31 square feet · Room #5: School Age classroom (5 - 12 years): measured a total of 897.92 square feet The total indoor space measures 2704.86 square feet which is sufficient to accommodate 77 children at one time. However, facility is only requesting a capacity of 51. The classrooms are equipped with appropriate furniture, including tables, chairs, cubbies, bookshelves, and other materials for children. There are two bathrooms which contain 3 toilets, 3 urinals and 4 sinks. The number of toilets, urinals and sinks are sufficient to accommodate the requested capacity of 51 children. Children are to be escorted and supervised by staff to and from the bathroom and direct visual observation is required. Drinking water is available in the classrooms via moveable water jugs. There are separate bathrooms for staff located in the school office. The staff bathroom is equipped with one sink and one toilet and is designated for ill children, The office will be used as an isolation area for ill children. There is a functioning carbon monoxide detector in the classrooms and a first aid kit with required supplies. Snacks, breakfast and lunch will be brought from home. Manual sign in and sign out will be implemented. Required documents are posted in the office. See LIC809-Continuation page...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KINDERLAND MONTESSORI	FACILITY NUMBER: 376701467
	VISIT DATE: 09/29/2020

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

The play yard area was inspected and measures a total of 6,820.37 square feet which is sufficient for 90 children. The play area is fully fenced and includes outdoor play equipment suitable for age groups 5 through 12 years old, there are sufficient woodchips for cushioning and a canopy for shade. Drinking water is readily available in the play area via moveable water jugs. Proper supervision and placement of staff on the playground was advised to ensure supervision and safety of children.

Incidental Medical Services (IMS) 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: http://www.ada.gov/childqanda.htm. LPA and Applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov. Additional Resources provided include Shaken Baby Syndrome, and Lead Poisoning information.

A fire clearance for 52 School Age children was granted on 09/03/20.

Prior to licensure the following is needed by 10/5/20:
1) Updated fire clearance is needed due to room addition of classroom #3

An exit interview was conducted and a copy of the report was provided to the applicant. A license may be issued upon a final file review.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2