573615117-6-24-2021-53-CC-MSOO-C4ATKW-20210624144836

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573615117
Report Date: 06/24/2021
Date Signed: 06/24/2021 02:48:43 PM

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 MONTESSORI		FACILITY NUMBER:	573615117
ADMINISTRATOR:	HERNANDEZ, M. SMITH, M.		FACILITY TYPE:	850
ADDRESS:	2700 LINDEN ROAD		TELEPHONE:	(916) 224-2033
CITY:	WEST SACRAMENTO	STATE: CA	ZIP CODE:	95691
CAPACITY:	84	CENSUS: 71	DATE:	06/24/2021
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Rachel Delgado		TIME COMPLETED:	03:00 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 June 24,2021, at 12:30pm Licensing Program Analyst (LPAs) Marissa Soto met with Director Rachel Delgado for an unannounced annual inspection. Today’s census was 71 children and 9 staff members, who have all been fingerprint cleared through Community Care Licensing. LPA toured the facility including all activity/classroom areas, food service area and restrooms. LPA observed that furniture and equipment are in good condition, the food preparation area is kept clean and the restrooms are safe and sanitary. The Director stated that the facility provided morning/afternap snack/afternoon snack and lunch, however parents have the option if they would like to bring their own lunch or hot lunch from center; LPA observed a current menu posted in the door entry and parents are able to obtain menu if they like. LPA observed that at least one staff member present during today’s inspection has a current Pediatric CPR/First Aid that expires on 7/22. LPA observed cleaning compounds are inaccessible to children in laundry room stored up high and the Director stated there are no firearms or bodies of water on the property. LPA reviewed care and supervision of children and staffing ratios, there is one teacher for every 12 children in care. LPA observed that medications are centrally stored and inaccessible to children. LPA reviewed children’s files and observed that each child had their Identification/Emergency Information and the Consent for Medical Treatment form filled out and signed by their authorized representative. LPA also reviewed staff's educational background /transcripts, and the facility has the appropriate staffing that meet the educational requirements. LPA observed that outdoor activity space surfaces are free of hazards, playground equipment is in safe condition and drinking water is made readily available to children both indoors and outdoors. Report continues on 809-C

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa Soto	TELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: PORTSIDE MONTESSORI	FACILITY NUMBER: 573615117
	VISIT DATE: 06/24/2021

NARRATIVE

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LPA discussed Departments inspection authority regulations with the Director and informed her that if any changes occur regarding the Designee/Director or an employee acting in their absence must be reported to Department within 10 working days. LPA also discussed Unusual Incident Reports (UIRs) and reporting requirements. LPA informed the Director that if any unusual incidents occur she must contact the Department within 24 hours and an UIR must be submitted with 7 day, describing the specifics to the incident.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised the licensee of their responsibility to stay current in regards to new regulations.

LPA discussed the new Immunization Regulations SB 792, the requirement that all individuals working or volunteering at a licensed Child Care facility must have vaccinations against, Pertussis, Measles and Influenza LPA advised the licensee that they can sign a declaration to be exempt from the influenza vaccinations however; Pertussis and Measles are not exemptible. To be exempt from Pertussis and Measles staff must have a medical exemption signed by a licensed physician.

LPA conducted file reviews and LPA observed proof that the facility staff has been vaccinated against Measles, Pertussis and Influenza.

LPA discussed the new Incidental Medical Services (IMS) policies with the licensee. This facility plans to provide IMS, LPA advised the licensee that IMS information can be found in the Evaluator Manual/Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and the Medication Regulations 101226. A Plan of Operation that includes IMS must be submitted to LPA. LPA provided the following information regarding ADA: US Department of Justice (USDOJ), 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

No Title 22 Deficiencies cited were observed in the areas that were evaluated.

LPA read this report to the Director, she stated understands today’s inception. Appeal Rights were provided and Notice of Site Visit posted and the license understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa Soto	TELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:	DATE: 06/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021

LIC809 (FAS) - (06/04)

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