393600441-11-26-2019-53-CC-SWIS-BJAQJT-20191126111316

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393600441
Report Date: 11/26/2019
Date Signed: 11/26/2019 11:13:21 AM

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:	MONTESSORI SCHOOL OF TRACY		FACILITY NUMBER:	393600441
ADMINISTRATOR:	TERESA MORENO		FACILITY TYPE:	850
ADDRESS:	100 SOUTH TRACY BOULEVARD		TELEPHONE:	(209) 833-3458
CITY:	TRACY	STATE: CA	ZIP CODE:	95376
CAPACITY:	240	CENSUS: 163	DATE:	11/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Teresa Moreno		TIME COMPLETED:	11:20 AM

NARRATIVE

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Licensing Program Analyst (LPA) Stacey Williams met with Teresa Moreno, Director for the purpose of an annual inspection. There were 163 children present during today’s inspection supervised by 23 staff. Criminal record clearances were verified for staff present.

LPA toured the building including all activity and classroom spaces, restrooms, food service area and outdoor play area. Toxic and hazardous items are appropriately stored and inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. The areas around or under climbing equipment are cushioned with materials to absorb the fall. Toileting facilities are in safe and sanitary condition. The food preparation space is free of litter. All food was protected against contamination. Trash cans containing solid waste had lids. Uncontaminated drinking water was readily available to children both indoors and outdoors. Menus were posted. Sign in and out sheets consisted of full legal signatures.

This facility is providing Incidental Medical Services-IMS and has a plan of operation in place. LPA reviewed storage of medication and equipment/supplies and reviewed the child’s records. 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.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019

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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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: MONTESSORI SCHOOL OF TRACY	FACILITY NUMBER: 393600441
	VISIT DATE: 11/26/2019

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A sample of staff and children's records were reviewed. At least one staff member present today has current Pediatric CPR and First Aid certification that expires in September 2021. Information pertaining to authorized representatives, consent for medical treatment and a medical assessment forms were in in all child files. LPA reviewed staff records which included immunization records, mandated reporter completion certificates and documentation of the educational background, training, and/or experience.

Fire drill logs are being maintained. Fire drills are conducted every month. Carbon monoxide detector was tested and found to be operable.

There were no Title 22 regulatory violations issued in the areas evaluated during today’s inspection.

This facility evaluation report was reviewed and discussed with the Director. 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 child care centers. AB 2370 concerning lead exposure was discussed with the Director.

A notice of site visit was provided and should remain posted for a period of 30 days for parental review. Appeal rights were provided.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey Williams	TELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019

LIC809 (FAS) - (06/04)

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