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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370956
Report Date: 11/30/2021
Date Signed: 11/30/2021 03:18:30 PM

Document Has Been Signed on 11/30/2021 03:18 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MILESTONES MONTESSORI OF IRVINEFACILITY NUMBER:
304370956
ADMINISTRATOR:GOLDEN, KRISTELFACILITY TYPE:
850
ADDRESS:16601 ARMSTRONG AVENUETELEPHONE:
(949) 553-0555
CITY:IRVINESTATE: CAZIP CODE:
92606
CAPACITY: 230TOTAL ENROLLED CHILDREN: 230CENSUS: 169DATE:
11/30/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kristel Golden, DirectorTIME COMPLETED:
03:30 PM
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At 9:20 a.m., Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Annual Inspection. LPA met with Kristel Golden, Director, who guided analyst on a tour of the facility. This is a Preschool program, with a Toddler Option. The Preschool Rooms consist of 8 classrooms; "Lime Room," "Blue Room," Aqua Room," Silver Room," "White Room," Yellow Room," "Orange Room," and "Bronze Room." Toddler Option consists of one classroom: "Lavender Room." Facility operation hours are Monday to Friday from 7:00 AM to 6:00 PM. LPA observed staff wearing masks per Department of Public Health's current guidance. Census was taken. The licensee is in the conditions, limitations, and capacity specified on the license.

PHYSICAL PLANT

All areas identified on the Facility Sketch, for the Preschool and Toddler Option programs, were inspected. The following was observed during the tour of facility: Disinfectants, cleaning solutions, medication, and other items that are dangerous to children, were inaccessible to children. LPA observed Medications stored in Emergency back packs in each room. LPA observed cleaning solutions stored in an upper cabinet in each room. Per Director, facility has no firearms or poisons on the premises. LPA advised Director to store poisons in a key or combination locked off- limit area. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. LPA observed no bodies of water on the premises. The facility has a functioning dual smoke and carbon monoxide detector in each room . Director states isolation area is located in the office, and an isolation restroom is outside office for ill children to use. Fire extinguisher last serviced on 1/20/2021. First Aid supplies are stored in each room and at front desk.

Per Director, children's authorized representatives bring lunch and snack items from home, and extra snacks are provided by facility as well. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids as well. Snack Menus were posted for a month in advance where it is visible by the child's authorized representative. Snacks were reviewed for availability, quantity and appropriateness to children in care. There is drinking water available to children indoors by drinking fountain and sports bottles with the child’s name on it. The children's bathrooms are clean and sanitary.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2021
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MILESTONES MONTESSORI OF IRVINE
FACILITY NUMBER: 304370956
VISIT DATE: 11/30/2021
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Children nap on mats, and bedding is stored individually, in each room, and is taken home weekly to be washed by parents. Facility met all posting requirements. The California Child Passenger Safety Law, Parent Rights poster, Waiver for shared playground, Facility License, and Emergency Disaster Plan were posted by the entrance of the facility.

LPA inspected the outdoor play yard. LPA observed readily available drinking water, via functioning water faucets. Per Director, children also use individual/labeled sports bottles. Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. The facility shall ensure that each child is never left unattended, and is under the direct visual supervision of a staff person at all times.

FACILITY RECORDS



There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The child care center has 2 Assistant Directors designated to act in the director's absence, and is on file. Educational background, transcripts, training, and/or experience for each staff present are on file and were reviewed. LPA observed all personnel to be in good health, and are physically and mentally capable of performing assigned tasks. LPA advised Director that personnel posing a threat to the health and safety of children shall be relieved of their duties. LPA observed most current on-the-job training regarding COVID-19 guidance and policies, and techniques for challenging behavior completed on 10/22/2021. LPA observed staff to have current Mandated Reporter Training (AB1207) on file. LPA observed staff immunization records (Influenza, Measles, and Pertussis) on file for each employee.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated. The director was informed that the Criminal Record Statement (LIC 508) has been updated, and the facility must now use the new form with revised date 7/15. Director was also informed that the LIC 508 must be submitted with all Criminal Background Clearance.

CHILDREN’S RECORDS

In review of children’s records, files contain information including, but not limited to the following: Name, address and

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MILESTONES MONTESSORI OF IRVINE
FACILITY NUMBER: 304370956
VISIT DATE: 11/30/2021
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telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Children's roster was reviewed and is current. Children present were signed in. Per Director, school uses the Pro Care application to sign in and out children, and children's authorized representatives use a computer to sign children in and out. LPA observed each child’s file to contain a medical assessment. Disaster drill log was last conducted on 10/13/2021.

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. 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. IMS Plan in Family Handbook.



LPA advised the director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. The director is added to an email list to receive Quarterly Updates and Provider Information Notices (PINs). The Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.ccld.ca.gov
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Website given, regarding additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.html).. The director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained to the facility representative. Facility Director does not have lead training Certificate on file.

A copy of the current Department of Public Health's Guidance for Child Care Providers and Programs was provided to the Director, and advised to have staff, children, ages 2 years and above, and children's authorized representatives continue wearing face masks while indoors, except when sleeping and eating. LPA also discussed Provider Information Notice (PIN) 20-06-CCP regarding Social and Physical Distancing Guidance and Healthy practices for childcare facilities in response to the global coronavirus (COVID-19) pandemic written in collaboration with the CA Department of Education.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MILESTONES MONTESSORI OF IRVINE
FACILITY NUMBER: 304370956
VISIT DATE: 11/30/2021
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In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Kristel Golden.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
LIC809 (FAS) - (06/04)
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