197492786-12-21-2021-12-CC-BTSA-C9WUHJ-20211221143600

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492786
Report Date: 12/21/2021
Date Signed: 12/21/2021 02:36:11 PM

Document Has Been Signed on 12/21/2021 02:36 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	MONTESSORI OF SANTA CLARITA		FACILITY NUMBER:	197492786
ADMINISTRATOR:	BRANDY BLACK-PEREA		FACILITY TYPE:	830
ADDRESS:	27757 BOUQUET CANYON ROAD		TELEPHONE:	(661) 296-0175
CITY:	SANTA CLARITA	STATE: CA	ZIP CODE:	91350
CAPACITY: 27	TOTAL ENROLLED CHILDREN: 13	CENSUS: 7	DATE:	12/21/2021
TYPE OF VISIT:	Case Management - Incident	ANNOUNCED	TIME BEGAN:	10:52 AM
MET WITH:	Director Brandy Perea		TIME COMPLETED:	02:45 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 December 21, 2021 at 10:52AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted a scheduled joint inspection with Los Angeles County Department of Public Health Nurses Health Nurse 1 (H1) and Health Nurse 2 (H2) in response to the outbreak of COVID-19 at the facility. LPA disclosed the purpose of inspection and was granted entry by Director Brandy Perea. LPA counted 7 children present with 2 staff. Upon entry, LPA observed the shipment of air purifiers at the facility and one actively being used in the lobby. On December 2, 2021, Director notified Licensing of initial COVID-19 positive in the infant room. On December 6, 2021, 4 more individuals tested positive for COVID-19, causing Director to make the decision to close the facility and quarantine for 14 days. Facility reopened 12/20/2021. Director notified Los Angeles County Department of Public Health (DPH) of the initial positive, and disclosed additional positives to DPH as the Director was notified. During the course of the quarantine, 2 individuals tested positive for COVID-19. During the course of the outbreak, 8 individuals tested positive for COVID-19 total. On December 21, 2021, at 11:09AM, H1 and H2 arrived at the facility. During inspection, LPA, H1, and H2 were guided on a tour of the infant room, toddler room, and preschool room by Director. Prior to entry into the infant room, H2 recommended any children with any symptoms, even allergies, should stay home and if children develop any symptoms while at the facility, they should be sent home. The office was identified as the isolation room for the facility.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MONTESSORI OF SANTA CLARITA	FACILITY NUMBER: 197492786
	VISIT DATE: 12/21/2021

NARRATIVE

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At 11:15AM, LPA, H1, H2, and Director entered infant room. Upon entry into the infant room, LPA observed 1 staff tending to 3 infants while wearing a gown. Staff was wearing mask, but infants were not wearing masks, as they were not old enough. DPH recommends the staff wear gowns in the infant room and change at least twice daily. H1 provided recommendation to have staff wear gowns during diapering and feeding the children, and change gowns as soon as they become soiled. H2 stated gowns are to be worn with the opening in the back to protect the individual's clothes from the front. H2 stated she would provide Director Donning and Doffing flyer instructing the staff on proper procedure to adorn and remove PPE.

In the infant room, LPA observed the hand washing sign posted, disposable gowns available for use, and bleach solution used to disinfect stored locked in cabinet inaccessible to children. The bleach solution is mixed by the staff who discovers it is beginning to run low and stored the solution until it runs out (approximately 1 to 2 weeks). H1 and H2 provided recommendation to change bleach solution daily and have 1 staff consistently mix the solution (1/3 cup bleach with 1 gallon water) to enable consistency.

Director disclosed the bedding are washed weekly unless soiled, which they are changed immediately and sent home for laundering. The air conditioning system filters are changed every 3 months as required by manufacturer's specifications. The unit is kept on the fan setting to enable fresh air to circulate into the room as windows cannot open in the rooms. A fan is present in the room, but it used during summer to cool down the room and circulate air. Toys are disinfected daily in a bleach solution bath and the facility is rotating disinfected toys in and rotating contaminated toys out. The staff wipe down the climbing structure in infant room with bleach solution and are constantly cleaning throughout the day. LPA observed the room to be very clean and organized. Trash cans have lid.

At 11:45AM, the toddler room was inspection. LPA observed 1 staff (wearing mask) with 3 toddlers not wearing mask, as they are not old enough. LPA observed the hand washing sign posted and alcohol spray in restrooms (inaccessible to children) used to disinfect toilet/sink handles. Director stated the toddlers are not yet potty trained and the restroom is primarily used for potty training services.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MONTESSORI OF SANTA CLARITA	FACILITY NUMBER: 197492786
	VISIT DATE: 12/21/2021

NARRATIVE

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Water is available to the children with water pitcher and disposable cups. Children nap 6 feet part, head to toe orientation. LPA observed he bleach solution locked in cabinet inaccessible to children. H2 stated bleach has a 10 minute contact time, meaning it needs 10 minutes to sit to effectively disinfect a surface. Toys are disinfected during nap time in bleach bath. LPA observed hand soap and paper towels at hand washing station.

At 12:12PM, the preschool room was inspected. LPA observed children wearing masks, staff wearing masks, and staff providing positive reinforcement for children to maintain the masks on correctly. Director states they remind children to keep the masks on and staff speak with the children to positively reinforce mask wearing. LPA observed extra masks for children in the classroom and at the entrance, just in case masks become soiled or need replacing. LPA observed the children preparing for nap time with cots orientated 6 feet apart. LPA observed the hand washing sign posted, bleach solution in the classroom (stored locked in cabinet inaccessible to children), and trash cans have lid.

At 12:25PM, the outdoor play area was observed. H2 provided recommendation to disinfect the play structures at least once daily, and recommended to clean between each group of children. Director disclosed she has a cleaning crew come to the facility every day to clean and will add disinfecting the play structures to the areas that require cleaning.

At 12:45PM, the break room/library was inspected as to discuss alternative site for isolation room aside from Director's office. The break room had COVID-19 signs posted.

At 1:00PM, final discussion was conducted and last recommendations noted. H1 observed Director had implemented the recommendations indicated during teleconference on Wednesday, 12/15/2021. H1 stated facility should be cleared, pending any other advise from consulting doctor.

Based on evidence obtained during the inspection, no deficiencies were noted and no citations will be issued. An exit interview was conducted, this Report, Appeal Rights, and Notice of Site Visit were provided to Director, Brandy Perea.

SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Brigitte Tsutaoka
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2021

LIC809 (FAS) - (06/04)

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