406213429-10-13-2021-17-CC-GRES-C7RHLQ-20211013061755

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406213429
Report Date: 10/12/2021
Date Signed: 10/13/2021 06:17:58 AM

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:	PARIZEK FCC AKA TEMPLETON MONTESSORI PRESCHOOL		FACILITY NUMBER:	406213429
ADMINISTRATOR:	PARIZEK, HEATHER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(805) 434-1010
CITY:	TEMPLETON	STATE: CA	ZIP CODE:	93465
CAPACITY:	14	CENSUS: 4	DATE:	10/12/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:11 AM
MET WITH:	Heather Parizek		TIME COMPLETED:	12:11 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 10/12/2021, Licensing Program Analyst (LPA) Gigi Reyes conducted an unannounced Required Annual Inspection. LPA asked pre screening questions related to COVID-19, Licensee's responses indicate there are no COVID-19 exposures on site. LPA met with Licensee, Heather Parizek. The day care operates Monday to Wednesday from 9:00 AM to 2:00 PM. There were 4 children present at the time of the inspection. During the inspection, LPA observed required forms are posted by the front door. The smoke and carbon monoxide detectors were tested and found to be operational. The home has a regulation fire extinguisher which was serviced on 9/10/2021. The home was clean, orderly and has ventilation to afford for the children’s comfort and safety. Cleaning compounds are stored in the garage and are inaccessible to children. Knives are stored in a cabinet inaccessible to children in care. Toys, furniture and equipment observed in the home are safe and age appropriate. The backyard is completely fenced. LPA observed age appropriate toys and play equipment. No bodies of water were observed on site. The Licensee possesses no firearms or ammunition stored on site. Licensee implements the COVID 19 safety protocols. CONT 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

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

FACILITY NAME: PARIZEK FCC AKA TEMPLETON MONTESSORI PRESCHOOL	FACILITY NUMBER: 406213429
	VISIT DATE: 10/12/2021

NARRATIVE

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CPR and First Aid certification expires on 7/12/2022. Licensee has complete record of immunization as required by SB 792. Mandated Reporter Training was renewed on 2/27/2020

LPA reviewed children's records. The records were current, complete with emergency contact information.

LPA discussed the Safe Sleep Regulation with Licensee. Licensee is not caring for infants.
The Licensee is not providing Incidental Medical Services (IMS). Policy was discussed. When any IMS is provided, a Plan for Providing 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

In the areas evaluated, there was no deficiency cited.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Gigi Reyes	TELEPHONE: (805) 698-7114
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

LIC809 (FAS) - (06/04)

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