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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540405030
Report Date: 05/05/2022
Date Signed: 05/05/2022 12:30:31 PM


Document Has Been Signed on 05/05/2022 12:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:GREENHOUSE MONTESSORI SCHOOLFACILITY NUMBER:
540405030
ADMINISTRATOR:CLANCY, NINAFACILITY TYPE:
850
ADDRESS:4143 S. DANS LANETELEPHONE:
(559) 625-8385
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:82CENSUS: 82DATE:
05/05/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Anne HoffmanTIME COMPLETED:
12:45 PM
NARRATIVE
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On 5/5/2022, Licensing Program Analyst, Theresa Marquez conducted a Case Management inspection and met with Director, Anne Hoffman. LPA Marquez toured the preschool and took a census. The purpose of this inspection is in regards to a self reported incident that occurred at the preschool on 4/22/2022.

On 4/22/2022 at about 11:05 AM, during group time, a child was in classroom #1 with 17 other children and 2 teachers. Teacher 1 was leading group time and teacher 2 asked the child to put his work away that was left on a table. The child left the group to put his work away and teacher 2 briefly left the classroom. Child #1 walked out of the classroom and exited the building through the front entrance door unsupervised. When parent A drove into the parking lot, parent A observed child #1 standing by a tree alone. Parent A returned child #1 to the preschool unharmed. The child's authorized representative was notified.

On 4/25/2022, Co-Directors Hoffman and Nina Clancy held a meeting with the 2 teachers to discuss this incident and develop protocols to avoid a reoccurrence of this type of incident. Specifically, communication between staff when during care and supervision of the children. A bell has also been placed classroom #1 door to alert teachers if a child is exiting. Staff also reviewed with the children in each of the 5 classrooms the rules of pick up and leaving the classroom with only a teacher or authorized representative.

Per Chapter, Division 12, Title 22 of the California Code of Regulations, the following deficiency is found: Child #1 exited the facility unsupervised and was found in the preschool parking lot by a day care parent. (see LIC809-D)

An exit interview was conducted and report was reviewed with Director Anne Hoffman. A copy of Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days. Continued on LIC809-D
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: GREENHOUSE MONTESSORI SCHOOL
FACILITY NUMBER: 540405030
VISIT DATE: 05/05/2022
NARRATIVE
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LPA Theresa Marquez informed Director Anne Hoffman that this report dated 5/5/2022, documents one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA Marquez also informed Anne Hoffman to provide a copy of this licensing report dated 5/5/2022, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/05/2022 12:30 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: GREENHOUSE MONTESSORI SCHOOL
FACILITY NUMBER: 540405030

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2022
Section Cited

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RESPONSIBILITY FOR PROVIDING CARE & SUPERVISION- The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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This requirement was not met as evidenced by Director self reporting incident. On 4/22/2022, Child #1 walked out of his classroom and exited the building through the front entrance door unsupervised. This poses an immediate risk to the health, safety or personal rights of children in care.
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All staff are to review the CCL video SUPERVISING CHILDREN IN CHILD CARE CENTERS. Director is to submit a signed staff roster as evidence that ALL staff have reviewed the CCL video by May 13, 2022.


An immediate $500 Zero Tolerance penalty is being assessed today.

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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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022
LIC809 (FAS) - (06/04)
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