434414335-8-2-2019-07-CC-SYIP-BENLPC-20190802085539

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434414335
Report Date: 08/01/2019
Date Signed: 08/02/2019 08:55:52 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	ABC LEARNING MONTESSORI, LLC		FACILITY NUMBER:	434414335
ADMINISTRATOR:	AMEE CONSIGNY		FACILITY TYPE:	850
ADDRESS:	15345 CALLE ENRIQUE		TELEPHONE:	(408) 532-6264
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	50	CENSUS: 19	DATE:	08/01/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:21 AM
MET WITH:	Diana Manix and Lindsay Meazell		TIME COMPLETED:	04:50 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	Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced annual random inspection. LPA met with Lindsay Meazell, Assistant Director, and explained the reason for the inspection. Present during the inspection were 19 children and at least 5 staff present during the inspection. The staff child ratio was observed to be in compliance during today's inspection. Director Diana Manix arrived shortly after. LPA reviewed the sign in/out sheet, which contains full signatures of authorized representative. License, Parent’s Rights, and Emergency Disaster Plan were observed to be posted. LPA toured the inside and outside of the facility with Director and Assistant Director. The facility was observed to be clean. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible to children. The furniture and the equipment, such as tables, chair, napping cots, were age-appropriate and in good condition; free of sharp or loose, or pointed parts. The floors were clean and free of tripping hazard. LPA observed there is sufficient amount of age-appropriate toys for children in care. Restrooms for children’s use were observed to be sanitary, and in functioning condition. Storage containers for waste have tight fitted lids. Director stated that there are no weapons stored on the premise. LPA observed a fully charged fire extinguisher, a functioning carbon monoxide, and smoke detector. The last fire/disaster drill was last conducted on 07/2019. ----------------continues on 809 dated 08/01/2019 page 2---------------------------------------

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ABC LEARNING MONTESSORI, LLC	FACILITY NUMBER: 434414335
	VISIT DATE: 08/01/2019

NARRATIVE

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Staff present during the inspection have cleared criminal record and child abuse index clearance or exemption. LPA also reminded Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

Director stated that she currently does not have any children in care who requires Incidental Medical Services (IMS) services. IMS policy was discussed.
For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

Director is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online Licensing Forms, Adoption of new Laws, etc.

As a result of today's inspection, two Type B deficiencies have been cited. An exit interview was conducted, where this report, the citation, plan of correction, and appeal rights were discussed with Director.

A NOTICE OF SITE VISIT WAS ISSUE AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ABC LEARNING MONTESSORI, LLC	FACILITY NUMBER: 434414335
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/01/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/09/2019 Section Cited CCR 101239(n)	1 2 3 4 5 6 7	Fixtures, Furniture, Equipment and Supplies. Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement is not met as evident by:	1 2 3 4 5 6 7	Deficiency has been corrected during inspection. Assistant Director placed duct tape over areas that were cracked.
	8 9 10 11 12 13 14	Based on observation, LPA observed that there is a play structure and shed that is cracked. This poses a potential risk to the health and safety to the children in care.	8 9 10 11 12 13 14
Type B 08/08/2019 Section Cited CCR 101238.2(d)(1)	1 2 3 4 5 6 7	Outdoor Activity Space. The surface of the outdoor activity space shall be maintained: In a safe condition for the activities planned. This requirement is not met as evident by:	1 2 3 4 5 6 7	Director relocked the mats during the inspection so it does not shift and is uneven. By POC 08/08/2019, Director stated she will send a written plan on how she will retrain staff to check the
	8 9 10 11 12 13 14	Based on observation, LPA observed that rubber mat stacked on top of each other were uneven. This poses a potential risk to the health and safety to the children in care.	8 9 10 11 12 13 14	playground area to ensure that the rubber mats are aligned and is not uneven.

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: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ABC LEARNING MONTESSORI, LLC	FACILITY NUMBER: 434414335
	VISIT DATE: 08/01/2019

NARRATIVE

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The outdoor activity area is fenced. There is resilient materials to absorbs falls. LPA reminded Director to check there is sufficient amount of resilient materials to absorb falls. LPA also observed that there are rubber mats at the end of the slides and the steps. Rubber mats are stacked on top of each other and were uneven. LPA explained to Director how this could pose a risk to the children in care if they were to step on the uneven section. Director stated that will replace it with one large rubber mat. She will have staff sweep the outdoor area to before children's use to ensure rubber mats are stacked evenly. LPA also observed that one of the play equipment and shed outside is cracked. Assistant Director placed tape over the crack area. Shaded rest areas are provided through building overhang. LPA did not observe any bodies of water. Shaded rest areas are provided through trees and building overhang. LPA did not observe any bodies of water.

Lunch is prepared and brought from home. The facility does provides breakfast and snacks to the children in care. Menu was posted with serving size. Kitchen used to prepare breakfast and snacks was observed to be clean and sanitary. Drinking water is provided through water bottles and drinking fountains.

Facility roster was reviewed and was copy was obtained. 10 children’s files were reviewed during today’s inspection. The records reviewed include not limited admission agreement, immunization records, and parent's rights.

5 staff files were reviewed during inspection. The records reviewed include but not limited to immunization (Measles, Pertussis, and Influenza), Health Screening with TB test results, Criminal Record Statement, and Mandated Reporter Training (AB 1207). There is currently at least one staff on site with valid CPR/First Aid, which expires 04/14/2021.
LPA discussed Assembly Bill (AB) 1207 (Mandated Child Abuse Reporting Training) which is required training that began on January 1, 2018 and requires renewal every two years. Mandated Reported Training can be accessed at http://www.mandatedreporterca.com.

-----------------continues on 809 dated 08/01/2019 page 3---------------------------------

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

LIC809 (FAS) - (06/04)

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