406208351-12-19-2019-17-CC-GRES-BJZVSS-20191219154202

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406208351
Report Date: 12/19/2019
Date Signed: 12/19/2019 03:43:09 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:	CHILDREN'S ACADEMY MONTESSORI SCHOOL, THE		FACILITY NUMBER:	406208351
ADMINISTRATOR:	TAMERA DAVIS		FACILITY TYPE:	850
ADDRESS:	711 ROLLING HILLS DRIVE		TELEPHONE:	(805) 239-9790
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	40	CENSUS: 0	DATE:	12/19/2019
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Tamera Davis		TIME COMPLETED:	03:40 PM

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Licensing Program Manager (LPM) Maria Mueller and Licensing Program Analyst (LPA) Gigi Reyes met with the Director, Tamera Davis for an Informal Conference at the Department of Social Services Regional Office. The purpose of the conference was to discuss the Type A deficiencies cited in 2019.

September 18, 2019

101170(e) Criminal Record Clearance. 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:

(1) Obtain a California clearance or a criminal record exemption as required by the Department...Licensee failed to ensure that Naomy Munoz had a criminal record clearance prior to working in the facility.

March 26, 2019
101229(a)(1) Care and Supervision 1 out of 5 parent corroborated that a child was found unsupervised outside the center and was returned inside the center to a teacher. Director stated that she was not aware of the incident.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDREN'S ACADEMY MONTESSORI SCHOOL, THE	FACILITY NUMBER: 406208351
	VISIT DATE: 12/19/2019

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February 7, 2019
101170(e)(2) Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. Based on observation and file review conducted by LPA during the visit, Teacher Debbie Jimenez was removed from the teacher's roster submitted to the office 12- 8-2010. Teacher stated that she has been working at this center since May 2018.

In response to these discussions, director agreed to the following.

Director shall ensure that all individuals subject to a criminal record review prior to working, residing or volunteering in a licensed facility:

(1)Obtain a California clearance or a criminal record exemption as required by the Department or (2)Request a transfer of a criminal record clearance as specified in Section 101170(f)

All staff shall ensure that Personal Rights of children will not be violated at any time when children are in care
All staff shall ensure children are provided with safe and healthful environment.
All staff shall ensure children are supervised at all times. Supervision shall include visual supervision
Licensee shall ensure that a report shall be made to the Department within 24 hours of the occurrence of any unusual incident.
Director shall ensure that Center complies with Teacher-Child Ratio at all times.
Increased unannounced visits to monitor compliance for three (3) year period to be conducted by CCLD.
Director and one staff shall attend the Child Care Center Operations and Record Keeping Orientation on February 20, 2020, Thursday, 9:30 AM at Santa Barbara Regional Office

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDREN'S ACADEMY MONTESSORI SCHOOL, THE	FACILITY NUMBER: 406208351
	VISIT DATE: 12/19/2019

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Director shall take the following on line training, the website for training courses was provided to the director. http://www.smarthorizons.org/childcare/purchase/courses/California

Environmental Safety
Child Self-Esteem
Workplace communication
Managing your child care business
Behavior Management For Young Children

Director was informed that training videos are available on the Community Care Licensing website at www.ccld.ca.gov.
· Personal Rights
· Care and Supervision

Community Care Licensing Division (CCLD) offered CCLD'sTechnical Support Program to provide training to Center Director and staff. (TSP's contact information was provided to the director) Marina.Pilossian@dss.ca.gov .

Director shall submit to CCLD in a form of writing what the director learned from the training attended. Director shall submit a written plan indicating how The Children's Academy Montessori School and its staff will comply with the above items and shall submit Training Certificates no later than February 28, 2020.

Upon receipt of this report, provide copies of this licensing report to each parent/guardian of enrolled children and to parents/guardians of newly enrolled children during the next 12 months. Acknowledgement of Receipt LIC 9224 form shall be used for this purpose. LIC 9224 after completed shall be maintained in each child's file. (LIC 9224) was provided to the Center.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019

LIC809 (FAS) - (06/04)

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