304371580-2-28-2024-06-CC-PRIS-D2VT6X-20240228132751

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371580
Report Date: 02/28/2024
Date Signed: 02/28/2024 01:28:28 PM

Document Has Been Signed on 02/28/2024 01:28 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	NOBIS MONTESSORI		FACILITY NUMBER:	304371580
ADMINISTRATOR:	FOSTER, SUSAN		FACILITY TYPE:	830
ADDRESS:	264 NORTH MAIN STREET		TELEPHONE:	(714) 997-8333
CITY:	ORANGE	STATE: CA	ZIP CODE:	92868
CAPACITY:	16	CENSUS: 10	DATE:	02/28/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Susan Foster, Director/applicant		TIME COMPLETED:	01:45 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	Licensing Program Analyst (LPA) P Rivas conducted a case management visit to continue the prelicensing inspection commenced on 01/17/24. The facility has requested to provide care and supervision to 24 infants ages 6 weeks to 24 months old in Rooms #5 and # 6, Monday to Friday from 7:00 am to 6:00 pm. Children are dropped off, signed in and out manually inside the classroom . LPA was advised Rm5 is proposed for infants 12 months-24 months. LPA conducted review of infant classrooms during today's visit. In room 6, LPA viewed 10 infants napping and three teachers were providing direct supervision. Eight infants were in cribs and two were sleeping on mats. Director advised that the two children on mats were transitioning out of the crib. Review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. There is an elementary school on the premises (classroom #4) under the Department of Education and facility has provided the Private School Affidavit. There is a separate playground and bathrooms. The "girls" restroom next to room #5 is designated as the bathroom for the elementary school children. The facility has designated the Boys bathroom which is directly next to room #6 that contained 2 sinks and 4 toilet for infant use. The facility is also designating the 1/2 bathroom inside the House/Office for infant use. There is one toilet and one sink in the half bathroom. Total sinks; 5 sinks and 5 toilets viewed. Window Bar releases in room 5 were operational. The indoor activity space measurement for the current requested capacity is as follows: Indoor activity space Room # 6 based on measurement on 12/28/2022 is : 589 square feet divided by 35 = 16.82 ( 17 infants , which included the deduction of the napping area which was 279 square feet). Today, Room #5 measured at 915.59 square feet which is sufficient for the requested capacity.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: NOBIS MONTESSORI	FACILITY NUMBER: 304371580
	VISIT DATE: 02/28/2024

NARRATIVE

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Outdoor activity space based on measurement dated 12/28/22 is: 980 square feet plus 378 square feet measured on 07/13/23 . The total measurement for the outside activity space which was based on prior visits is; 1358 square feet. (divide by 75 =18.11 (18 ) children which insufficient for the requested capacity.

High chairs and feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. High chairs are made of washable, moisture-resistant material. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. All furniture, equpment & supplies were age appropriate. Cribs meet regulatory requirements. Crib area is separated from activity space via half wall This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs and Needs and Services Plans and Sleep Plans are kept in infant room.

The facility currently has a fully fenced playground area which is separate from other components. Fencing is chain link fencing and is at least four feet high. Shade is provided via a sail awning. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. Drinking water is available via sippy cups. LPA did not observe l hazardous items on the playground. Applicant, Ms. Foster was reminded that any changes to the facility must be reported to and approved by Community Care Licensing. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

Based on today's visit the following is needed prior to increase in capacity;

1. Re-submission of Waiver for 101238.2 Outdoor Activity Space
2. Final review by management.
3. Provide List of new furniture, equipment in supplies in room5.

A notice of site visit was given to Ms. Foster and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
Exit interview was conducted and report was reviewed with the licensee/ Applicant, Ms. Foster . Appeal rights were discussed.

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024

LIC809 (FAS) - (06/04)

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