414002467-3-6-2020-05-CC-LGOZ-BMG2W2-20200306164451

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002467
Report Date: 03/06/2020
Date Signed: 03/06/2020 04:44:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	BERESFORD MONTESSORI		FACILITY NUMBER:	414002467
ADMINISTRATOR:	ANA CARDENAS		FACILITY TYPE:	850
ADDRESS:	1717-1719 GUM STREET		TELEPHONE:	(650) 571-8749
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	41	CENSUS: 35	DATE:	03/06/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Karina Garcia- Barbera		TIME COMPLETED:	04:55 PM

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Licensing Program Analyst, (LPA) Luis J. Gomez met with director, Karina Garcia- Barbera. The purpose of the inspection was explained and is for an unannounced annual inspection. This is a Montessori Program. The preschool program utilizes two classrooms: Daisy Classroom (two- five years old), Sunflower Classroom (two- five years old) and the Outdoor Play Area. Hours of operation are Monday- Friday 8:30am- 5:00pm. Present is the Director and six staff supervising 35 children. Facility is operating within capacity limits of the license. LPA Gomez inspected facility with director for health and safety hazards.

At 1:55pm on March 6, 2020, LPA inspected the daisy and sunflower classrooms. Classrooms are kept clean and organized with age appropriate wooden materials, art supplies and puzzles for the children. Items inspected are in good repair. Located in the facility lobby are Individual cubby for the children’s belongings. Classrooms have several child size tables and chairs for snack activities. The children’s bathroom, located in the Daisy and Sunflower classrooms, are equipped with five toilets and three sinks. Facility has stepping stools for additional assistance. LPA observed children’s bathrooms are maintained clean with adequate supplies. Staff uses separate a restroom located in the daisy classroom. Off-limit area are made in accessible with use of child safety gates, safety handles and locks. Per director, napping blankets are brought from home by the families and washed weekly. LPA observed trash cans and outlets are properly covered. Facility has acceptable temperature, ventilation and natural lighting. Classrooms have a smoke detector, carbon monoxide detector and a fully charged fire extinguishers (2A:10BC) located in kitchen. First aid kits and emergency disaster supplies are available in the kitchen.

At 2:15pm on March 6, 2020, LPA inspected outdoor play area and facility kitchen. LPA observed, outdoor play area is completely enclosed. The children’s play structure and swing set is securely anchored. Detergents, cleaning supplies and toxins are stored in accessible to the children, in the custodial closet.

(Continuation, 809- C)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
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)

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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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BERESFORD MONTESSORI	FACILITY NUMBER: 414002467
	VISIT DATE: 03/06/2020

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(Continuation, Page 2)

Outdoor toys and playthings inspected are in proper repair. There is sufficient shade available for the children. Storage shed, located in the outdoor play area, is used to rotate toys. Per director, fresh water is readily available with use of disposable cups and a water tank dispenser. During today's inspection, LPA reviewed the children’s medication. LPA remind director to return medication to families no longer enrolled. Facility kitchen is maintained clean, with all freezers and refrigerator units within proper temperature.

During today’s inspection, seven children files and three staff files were reviewed. Staff CPR/ first aid certification is current expiring: 3/2020. Emergency drills are conducted at the facility, with the last drill done on: 10/23/2019, properly logged. LPA observed facility licensing and required forms is properly posted.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding Americans with Disabilities Act (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.

During inspection,

· Director was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.662.
· Director was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com
· Director was reminded about the Provider Information Notices (PINs) on CCLD website.
Licensee was advised for any additional questions to contact CCLD office, Monday to Friday, 8:00 am - 5:00 pm, (650) 266-8800 or 1 (844) 538-8766. Website: www.cdss.ca.gov

(Continuation page 3)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
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 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BERESFORD MONTESSORI	FACILITY NUMBER: 414002467
	VISIT DATE: 03/06/2020

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(Continuation, Page 3)
Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Ca. Code of Regulations. Exit interview was conducted with, Karina Garcia- Barbera, and her signature of this form acknowledges receipt of these documents.

>This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site inspection was posted. Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
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)

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