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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406204107
Report Date: 03/06/2020
Date Signed: 03/06/2020 04:17:30 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: 27DATE:
03/06/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:07 PM
MET WITH:Cynthia SherrillTIME COMPLETED:
04:25 PM
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On 3/6/20 at 2:35pm, Licensing Program Analyst (LPA) Melissa Stewart conducted an unannounced Required- 1 Year inspection and met with the center Administrator. The preschool operates, Monday - Friday, 7:30am - 5:30pm. All required forms, including monthly menu, are posted at the main entrance of the center. The center was toured inside and outside. At 2:39pm, LPA observed a child using the toilet without visual supervision of center staff. Administrator stated that the child had left the Sunshine Room during naptime to use the toilet. In the Sunshine Room, LPA observed seven (7) children napping/resting on nap mats supervised by Staff 1 (S1). The classroom was observed to be clean and organized with a variety of age appropriate activity centers and furnishings. The outdoor activity area is completely fenced and contains climbing equipment located on sand to absorb a fall. LPA reviewed the sign in and out sheets and verified that the number of children signed in by parents corresponded with the number of children present. When passing by the restroom for the second time, LPA observed Child 2 (C2) using the toilet without visual observation of center staff. In the Rainbow Room, LPA observed two staff supervising 19 children (including C2 who returned from the restroom). The center conducts and documents emergency drills every six months. The most recent drill was held on 9/17/19. Administrator reported that the next drill is scheduled for 3/8/20. The center has first aid kits and carbon monoxide detectors in each classroom. Administrator reported that there are no firearms, ammunition or bodies of water on the premises. The restrooms used by children were observed to be clean. Drinking water is available both inside and outside.

At 3:10pm, LPA began reviewing staff files. Administrator stated that the Criminal Record Transfer Request for S1 was mailed to the Community Care Licensing Division (CCLD) office on 3/2/20. Continued on 809-C
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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 4
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: 03/06/2020
NARRATIVE
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LPA reviewed the Licensing Information System Personnel Report and noted that S1 had not yet been associated to this center. LPA contacted the CCLD office and was informed that S1 does have a Criminal Record Clearance associated with another licensed child care center. Administrator reported that S1 began working at this center on 2/20/20. Two staff present today have current Pediatric CPR and First Aid certification which expire on 8/29/21. Of the staff files reviewed today, staff have completed AB 1207 Mandated Reporter Training within the last two years and have met immunization requirements per SB 792. LPA advised Administrator that the Mandated Reporter training must be renewed every two years and can be found at www.mandatedreporterca.com. Administrator reported that the “Effects of Lead Exposure” brochure is distributed to all families at time of enrollment. Administrator reported that the center receives and reviews Quarterly Updates and Provider Information Notices (PINs) on-line at www.ccld.ca.gov.

Incidental Medical Services (IMS) policy was discussed. Administrator reported that there are no children currently enrolled who require IMS. 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: www.ada.gov/childqanda.htm


Deficiencies cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted and Plans of Corrections were reviewed and developed with Rhonda Todd-Obradovich who has been Designated Facility Responsibility in the absence of the Director. A copy of this report and appeal rights were discussed and left with Rhonda Todd-Obradovich, whose signature on this form confirm receipt of these documents.

LPA observed Notice of Site Visit Posted

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: 03/06/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2020
Section Cited

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time, ...(1) Supervision shall include visual observation.
This requirement is not met as evidenced by:
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Based on observation, interview and file review, Licensee did not ensure that children are visually supervised at all times. LPA observed C1 and C2 using the toilet without supervision of center staff which poses a potential risk to the health, safety and or personal rights 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: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: 03/06/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2020
Section Cited

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101170 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)...
This requirement not met as evidenced by:
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Based on observation, interview and record review, Licensee did not ensure that S1s criminal record transfer was completed prior to working in the center which poses a potential risk to the health, safety and or personal rights of children.
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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: Melissa K StewartTELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4