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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406204107
Report Date: 07/24/2019
Date Signed: 07/24/2019 01:41:56 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:DANDY LION MONTESSORI SCHOOLFACILITY NUMBER:
406204107
ADMINISTRATOR:ANN BALASURIYAFACILITY TYPE:
850
ADDRESS:1089 BADEN AVE.TELEPHONE:
(805) 481-1735
CITY:GROVER BEACHSTATE: CAZIP CODE:
93433
CAPACITY:50CENSUS: 37DATE:
07/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:12 PM
MET WITH:Cynthia SherrillTIME COMPLETED:
12:43 PM
NARRATIVE
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Licensing Program Analysts, (LPAs) Gigi Reyes and Elvin Baddley conducted an unannounced annual/random and met with Center Administrator, Ms. Cyndi Sherrill. Director/Owner, Ms. Balasuriya arrived after 30 minutes. The purpose of the visit was discussed. There were 37 children and 5 staff present. The center was toured inside and out. There were two classrooms used for day care.

LPAs observed age appropriate toys, books and equipment. The playground is appropriately fenced. There are no bodies of water observed. Ms. Sherrill stated there are no guns nor ammunition in the center. Center is observed to be clean and in order. The bathroom is free of toxins. Cleaning compound, toxins are stored inaccessible to day care children. There is a functioning carbon monoxide in each classroom. Drinking fountain supplies the drinking water in the playground. Water jug supplies the drinking water in the classroom. Teacher's files were reviewed. CPR and First Aide expired on 5/20/2019. Children's file were reviewed and found complete.

The Center is not providing Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

Continued on 809 C

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: DANDY LION MONTESSORI SCHOOL
FACILITY NUMBER: 406204107
VISIT DATE: 07/24/2019
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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

During today's inspection, deficiency was cited under Title 22 Division 12. Please see 809 D Appeal Rights given.

LPAs observed the Administrator posted Notice of Site Visit.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: DANDY LION MONTESSORI SCHOOL
FACILITY NUMBER: 406204107
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/26/2019
Section Cited
CCR
101216(f)
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At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evdinced by:
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Administrator is scheduling a classroom CPR and First Aid Training during the Teacher's Work Week betwee 8/26/2019 to 8/30/2019. Written plan of correction will be submitted to CCLD 8/5/2019.
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LPAs' review of facility record, it was observed that CPR and First Aide expired on 5/20/2019. The rest of the staff took the CPR and First Aide training online. This poses a potential risk to health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi ReyesTELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC809 (FAS) - (06/04)
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