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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 283007857
Report Date: 08/25/2021
Date Signed: 08/25/2021 10:48:56 AM

Document Has Been Signed on 08/25/2021 10:48 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,
, CA
FACILITY NAME:NAPA MONTESSORI CHILDREN'S HOUSE, INC.FACILITY NUMBER:
283007857
ADMINISTRATOR:PERERA, CHANDINIFACILITY TYPE:
850
ADDRESS:29 WINESTONE COURTTELEPHONE:
(707) 266-1596
CITY:NAPASTATE: CAZIP CODE:
94558
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 14DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Chandini Perera, Owner/ DirectorTIME COMPLETED:
11:00 AM
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An annual, required- 1 Year inspection was made to the facility by Licensing Program Analyst (LPA), Kevin O'Connell. The facility file was reviewed prior to this visit. A review of the personnel report on 8/25/2021 indicates that facility staff have received criminal record and child abuse index clearances or exemptions. Operating hours 08:30am- 02:30pm, Monday-Friday.
The facility was toured inside and outside and the floor and yard plan were verified. The facility was clean and orderly. The items which could pose a danger to children (detergents, cleaning compounds, and medications) were stored out of reach of the children. The Director states that there are no poisons but knows to lock them if they do accumulate any. The toys, floors and other equipment are clean, safe and age appropriate for children. No snack menu posted as children bring their own lunches and snacks. Food prep areas are clean.
Garbage cans containing solid waste have tight fitting lids. There is a working carbon monoxide detector and fire extinguisher in the facility. The outdoor play area is completely fenced and free of hazards. There are no climbing structures. Children have access to drinking water indoors and outdoors. The children’s bathrooms were in safe and sanitary condition.
The Director stated no firearms or dangerous weapons are stored on site and none were observed.
During today's inspection, staffing ratios were being met and there were 14 children being supervised by one teacher and the Director. The facility was operating within the licensed capacity and ratio.
The Director stated that there were no bodies of water and none were observed. All staff members present possessed current Pediatric CPR and First Aid certifications. Sign in/out procedure was reviewed and in compliance.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2021
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,
, CA
FACILITY NAME: NAPA MONTESSORI CHILDREN'S HOUSE, INC.
FACILITY NUMBER: 283007857
VISIT DATE: 08/25/2021
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Eight children’s records were reviewed at 10:30am, and contained identification forms with authorized representative information, as well as medical assessments. Two staff records were reviewed at 09:55am for immunizations and Mandated Reporting certificates.
This facility is not providing Incidental Medical Services (IMS) to children.
For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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: www.ada.gov/childqanda.htm. This report was reviewed and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

No violations were cited during today's visit.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Kevin O'Connell
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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