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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408911
Report Date: 12/22/2021
Date Signed: 12/22/2021 11:41:54 AM

Document Has Been Signed on 12/22/2021 11:41 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:GUIDING LIGHT MONTESSORI, LLCFACILITY NUMBER:
073408911
ADMINISTRATOR:STALEY, JUSINTAFACILITY TYPE:
850
ADDRESS:2041 OAK PARK BOULEVARDTELEPHONE:
(925) 954-1154
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
12/22/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:17 AM
MET WITH:Justina StaleyTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit conducted a Prelicensing inspection today, December 22, 2021 for the initial application that was submitted by the applicant. LPAs met with Director/owner, Justina Staley and husband Joshua Staley and toured all areas of the facility for a health and safety inspection. The hours of operation are Monday through Friday from 7:30am to 5:30pm. The measurements are as follows:

INDOORS: 1068.8 square feet = 30 children
OUTDOORS : 2729.49 square feet = 36 children
A fire clearance, with a total capacity of 30 preschoolers, ages 2 years to first grade entry was received from the Contra Costa County Fire Department.

LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. LPAs observed an ample supply of age appropriate activities, equipment and furniture. The facility has 2 sinks and 2 toilets. The classroom has a fully charged 2A10BC fire extinguisher, working combination smoke/carbon monoxide detector, and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children. Children will use personal water bottles with access to drinking water indoors and outdoors. The staff office will be used for ill children as the isolation area.

LPAs observed all outdoor play areas, they are fully fenced and have amply supply of age appropriate activities, equipment, and furniture. LPAs observed ample amount of shade for children.

See 809-C for continuance.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/22/2021
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: GUIDING LIGHT MONTESSORI, LLC
FACILITY NUMBER: 073408911
VISIT DATE: 12/22/2021
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Director/owner, Justina Staley is a fully qualified preschool director, with mandated reporter training completed on 07/9/2020, CPR/First Aid certification that expires 04/9/2023, and preventative health care training that was completed on 01/15/2017.

If this facility plans to provide Incidental Medical Services – IMS. A 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.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. LPA will email COVID-19 Self-Assessment Guide and Applicant submit to LPA once completed. LPAs reviewed responses and provided technical assistance including postings. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

A license for 30 preschool children will be effective today 12/22/21. An exit interview was conducted, and a copy of the report was provided to applicant/owner Justina Staley
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
LIC809 (FAS) - (06/04)
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