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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402889
Report Date: 06/05/2024
Date Signed: 06/05/2024 11:10:12 AM

Document Has Been Signed on 06/05/2024 11:10 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:MONTESSORI SCHOOL OF CONCORDFACILITY NUMBER:
073402889
ADMINISTRATOR/
DIRECTOR:
METROCK, ANAFACILITY TYPE:
850
ADDRESS:3039 WILLOW PASS ROADTELEPHONE:
(925) 682-8067
CITY:CONCORDSTATE: CAZIP CODE:
94519
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: DATE:
06/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Ana MetrockTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 6/05/24 at 8:15 AM Licensing Program Analyst (LPA) Sikia Blue conducted an unannounced Annual Inspection at Montessori School of Concord. LPA met with Director, Delmy Metrock and explained the purpose of today's inspection. LPA was granted inspection authority to enter the facility. The facility was toured to conduct a Health and Safety Inspection. Facility's operating days and hours are Monday to Friday 7:00 AM to 6:00 PM.

Criminal clearance was checked. Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The physical plant was inspected.

Indoor space: Facility operates in 4 classrooms and Sick room

Kindergarten: 1 teacher with 7 children (PRESENT) 10 children (ENROLLED)

Pre-K: 1 teacher with 6 children (PRESENT) 10 children (ENROLLED)

Preschool: 1 teacher with 6 children (PRESENT) 12 children (ENROLLED)

Toddler: 2 teachers with 5 children (PRESENT) 14 children (ENROLLED)

REPORT CONTINUED ON LIC 809C PAGE 2…

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Sikia Blue
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MONTESSORI SCHOOL OF CONCORD
FACILITY NUMBER: 073402889
VISIT DATE: 06/05/2024
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Facility was observed to be in compliance with teacher to children ratio requirement during LPA’s inspection. The classrooms, restrooms, food storage areas and spaces accessible to children were inspected. Disinfectants, cleaning solutions, poisons and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Storage areas for poisons were locked and medications were kept in a safe place inaccessible to children. Cabinets, drawers, and rooms used for storage were locked.

LPA observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. At this time, the sick room is used as an isolation area for sick children. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted. Food storage area were clean, free of litter, rubbish, and free of rodents and other vermin. LPA observed Fire extinguisher, Smoke and Carbon Monoxide Detectors. LPA observed facility's snack menu and menu is placed in a visible area by the child’s authorized representative and made available upon request.

Outdoor Space: Outdoor playground was inspected and observed to be fenced and safe. The play equipment and surface area was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were no bodies of water observed. Drinking water is readily available to children during indoor and outdoor activities.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

REPORT CONTINUED ON LIC 809C PAGE 3….

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Sikia Blue
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: MONTESSORI SCHOOL OF CONCORD
FACILITY NUMBER: 073402889
VISIT DATE: 06/05/2024
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File Review: (6) staff Records were reviewed to ensure that a health screening report and required immunization records are on file. (12) children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Verification of CPR/First Aid and health preventative practices documentation was verified. Mandated reporter certificates were verified and some were not completed/expired. LPA explained the importance of keeping certificates up to date and director will ensure teachers take training's as soon as possible and will provide proof of completion by email. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA conducted staff interview with director.

Last fire drill conducted: 04/2024

This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

No deficiencies cited during today's inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director Delmy Metrock.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Sikia Blue
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC809 (FAS) - (06/04)
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