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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506275
Report Date: 10/11/2019
Date Signed: 10/11/2019 12:21:52 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MARIA MONTESSORI SCHOOL OF THE GOLDEN GATEFACILITY NUMBER:
380506275
ADMINISTRATOR:ALAVI, TARANEHFACILITY TYPE:
850
ADDRESS:62 LENOX WAYTELEPHONE:
(415) 731-8188
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94127
CAPACITY:24CENSUS: 20DATE:
10/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Taraneh AlaviTIME COMPLETED:
12:45 PM
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3, An annual random inspection was conducted today. There are 20 children, site director, Taraneh Alavi, and two staff members present today. The purpose of the inspection was discussed. LPA toured the facility with the site director. No change in the daycare areas. Day-care areas (lower level): one large classroom for main activity and outside the yard. The snacks menu is posted. Children bring their own lunches. The facility is equipped with a smoke detector, a carbon monoxide detector, and a fully charged fire extinguisher. The classroom is set up with age-appropriate toys and furniture. Napping equipment is stored separately. There are two toilets and two sinks available for the children. The staff bathroom is separate from the children. Required immunization for staff members are on file. Staff files were reviewed at the previous inspection. Staff CPR & 1st aid certificate is current until 9/20/2020. The discipline policy is communication. Isolation areas for a sick child is in the director's office then calling parents for pick up. Staff members have been completed "Child Abuse Mandated Reporter Training, AB1207" and the certificates are on file. LPA reminded the site director to renew the training once every two years. www.mandatedreporterca.com. Children's files were reviewed today. The emergency drill was practice yesterday, 10-10-2019. A written IMS plan is on file. The facility is in compliance. Stakeholder meeting information was provided today.

www.ccld.ca.gov. Title 22, Div 12, Chp 1
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019
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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