384004115-6-28-2021-05-CC-ACON-C4EQ9L-20210628115831

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004115
Report Date: 06/28/2021
Date Signed: 06/28/2021 11:58:45 AM

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:	STUDIO MONTESSORI, LLC (INF)		FACILITY NUMBER:	384004115
ADMINISTRATOR:	PAUL, ZOE O.		FACILITY TYPE:	830
ADDRESS:	633 8TH STREET		TELEPHONE:	(415) 510-1287
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94103
CAPACITY:	12	CENSUS: 10	DATE:	06/28/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Zoe Paul		TIME COMPLETED:	12:15 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 June 28, 2021 at 8:45, Licensing Program Analysts (LPA) Cowan and Lo met with Site Director, Zoe Paul, for an unannounced annual random inspection. Present today is director, 3 staff, and 10 infants. Staff to child ratio was met on this day. The center operates Monday - Thursday 8:00am to 4:30pm, and Friday 9:00am to 3:00 pm. Infants are supervised in the Nido classroom. LPAs inspected the infant day care area for health and safety hazards today. The center is clean, orderly and in good repair. There are no pools, spas or other similar bodies of water on site. Per director, there are no firearms or weapons on site. Cleaning supplies and other potentially harmful items are stored inaccessible to the children. All furniture and equipment are clean and in good working condition. The center's furniture and equipment are age appropriate. There is a sufficient quantity of cribs, table/chairs and changing tables to meet the capacity. The facility washes all linen daily, and mates are wiped down and disinfected daily. Currently, no children are on the bottle. Food is provided from outside source and facility provides daily snacks for children. All infant are being potty trained and changing tables are not in use. The center has a working carbon monoxide detector. Facility has a fully charged fire extinguisher. LPA observed infants were supervised by staff in the classrooms. The All toys and equipment are in working condition. Per director, toys are cleaned nightly. Facility has a waiver for playground use. LPAs did not observe baby swings in the center.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: STUDIO MONTESSORI, LLC (INF)	FACILITY NUMBER: 384004115
	VISIT DATE: 06/28/2021

NARRATIVE

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At 11:15 AM, Children's files were reviewed. Children's files are complete with all required licensing documents.
All staff have criminal record clearances on file. Education units are on file for teaching staff. At least one staff member on site has current CPR/First Aid certification. Children's files were reviewed. Children's files have medical assessments and needs and services plans.

Incidental Medical Services (IMS) were discussed. For IMS information 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. Center is currently working on an update to the plan of operation. LPAs discussed revision of license to accomodate toddlers.

LPA reviewed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Safe sleep for infants was discussed.

There are no deficiencies cited this day. A copy of this report was reviewed and provided on this date. Notice of Site Visit was observed to be posted and shall remain posted for 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021

LIC809 (FAS) - (06/04)

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