197492786-4-4-2023-12-CC-CHEH-CQKPYM-20230404114411

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492786
Report Date: 04/04/2023
Date Signed: 04/04/2023 11:44:30 AM

Document Has Been Signed on 04/04/2023 11:44 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, 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: 27	CENSUS: 6	DATE:	04/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:36 AM
MET WITH:	Sarah Douglars		TIME COMPLETED:	12:00 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 4/5/2023, Licensing Program Analyst (LPA) Carol Heath met with the Center Assistant Director, Sarah Douglas to conduct an unannounced Annual/Random inspection for the infant program. The Center also has a licensed Preschool (197492787) and Inactive School-age program (197492785) on the premises. LPA toured and inspected the facility in accordance with the facility sketch (programs are kept physically separate). Present today were 6 infants, 3 teachers, and the assistant director. Teacher/Child Ratios were observed in the classroom. The operation house is Monday to Friday, 7:00 am to 6:00 pm. Incidental Medical Services (IMS) were discussed. According to the assistant director, there are 4 children with IMS need. · Physical Plant A walk-through of the classroom area was conducted. Infant furniture and equipment, including cribs, cots/mats, changing tables, and feeding chairs are sufficient, age-appropriate, and in good repair. The changing table has at least one-inch-thick padding covered with washable vinyl or plastic. Drinking water is available. There is a sufficient quantity of baby beds available for children. LPA observed 7 cribs and 3 emergency cribs. Storage for infants’ belongings was inspected. The bedding is stored separately. The infant room has its own refrigerator (secured next to the staff sink area), and items inside the refrigerator are properly stored and labeled.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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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Document Has Been Signed on 04/04/2023 11:44 AM - It Cannot Be Edited

Created By: Carol Heath On 04/04/2023 at 11:03 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MONTESSORI OF SANTA CLARITA	FACILITY NUMBER: 197492786
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/04/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the director, she did not receive the email for Lead water testing, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/18/2023
	Plan of Correction
1 2 3 4	The director will email LPA some documentation to set up water test appointment.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Claretta Yates

LICENSING EVALUATOR NAME:

Carol Heath

LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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: 04/04/2023

NARRATIVE

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A random selection of children's files/needs and Services plans were reviewed and found to be in compliance.
LPA observed cleaning solution was inaccessible to the children. Trash cans do have lids. Unused plugs are inaccessible. Age-appropriate sinks and toilets were inspected for availability and good repair. First Aid supplies, smoke detectors, carbon monoxide, and fire extinguishers were observed. Fire extinguishers are maintained properly. Trash cans with tight lids were observed. The telephone service was verified. Heating, lighting, and ventilation are adequate. LPA observed age-appropriate toys and materials. During the conversation, the assistant director did not receive the Lead water testing requirement.
The outdoor The infant’s indoor and outdoor activity space is physically separate from the space used by other daycare children. The playground is well-fenced all around, and no bodies of water were observed in the outdoor play area. The outdoor play areas were inspected and observed to be free of hazards, and loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness.
The parent board was reviewed and has all the required forms posted. Fire/earthquake drills current. Children are inspected for illnesses as they arrive. A review of medication policy indicated that prescription medication is administered only with the parent's written permission. The supervisor administers medication and documents the dosage, date, and time on a log. Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container. There are currently no children in care with IMS needs. There is a separate area for the isolation and care of ill children in the office. There is a mat available for ill children.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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: 04/04/2023

NARRATIVE

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Sign-in and out sheets were reviewed. The facility uses a paper sign-in sheet. The Teacher to child ratio was observed and staff names were recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate.
· Staff Records/ Children Records
Children's records and staff records were reviewed. LPA verified there is at least 1 staff person present with current CPR and First Aid Training (exp. 2023). Staff completes the Mandated Reporter training every 2 years. All staff receives Measles, Pertussis, and Influenza vaccination. All staff has required fingerprinting associated with the facility. Staff utilized as infant teachers have three child development units in infant/toddler care.
A random selection of children's files/needs and Services plans were reviewed and found to be in compliance LPA observed 5 children's files contained all required licensing documents.
The following general information was discussed during this inspection:

The incidental Medical Services (IMS) policy was discussed. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Center does not provide IMS at this time.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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: 04/04/2023

NARRATIVE

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Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, childcare providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided according to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. Staff was informed that they need to take mandated reporter training.
Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

*All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
Safe Sleep Information: California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

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: 04/04/2023

NARRATIVE

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Fingerprint clearances and transfers: Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184
**Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of the report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff is aware of the required forms for children's files and forms that shall be posted after licensure.
**Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children.

Deficiencies cited: (See LIC 809D). The following Type B deficiency is being cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety codes

Exit interview conducted with Director. A copy of this report is discussed and left with the assistant director, Sarah Douglas.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Carol Heath
LICENSING EVALUATOR SIGNATURE:	DATE: 04/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2023

LIC809 (FAS) - (06/04)

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