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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573615117
Report Date: 07/10/2020
Date Signed: 08/17/2020 10:51:44 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:PORTSIDE MONTESSORIFACILITY NUMBER:
573615117
ADMINISTRATOR:HERNANDEZ, M. SMITH, M.FACILITY TYPE:
850
ADDRESS:2700 LINDEN ROADTELEPHONE:
(916) 224-2033
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:84CENSUS: 42DATE:
07/10/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rachel DelgadoTIME COMPLETED:
02:15 PM
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Due to the COVID-19 pandemic, Licensing Program Analyst (LPA) Marissa Soto conducted a Case management Tele-Visit via Zoom Video Conferencing with Assistant Director Rachel Delgado on July 10, 2020 in lieu of conducting an on-site inspection. Assistant Director guided LPA on a Tele-Visit tour throughout the facility. Today’s census consisted of 42 children, supervised by 6 teachers during nap time. LPA observed all teachers wearing masks throughout the facility, however children were not wearing masks due to nap time.

The purpose of today’s inspection was to discuss best practices and the COVID-19 Updated Guidance concerning social distancing and wearing masks for adults and children per the Governors order. LPA discussed the measures currently being taken by the facility concerning face masks and social distancing. LPA advised Assistant Director to continue to stay abreast to local county and state ordinances concerning COVID-19 best practices in a childcare setting.

In the areas that were evaluated there were no deficiencies observed.


Exit interview conducted and appeal rights were discussed. A copy of this report, Notice of Site Visit, COVID-19 Updated Guidance for Child Care Programs and Providers and appeal rights were emailed to the Assistant Director, Rachel Delgado. Hard copy of the report with signature will be on file.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2020
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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