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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 313622397
Report Date: 07/06/2021
Date Signed: 07/06/2021 02:13:42 PM

Document Has Been Signed on 07/06/2021 02:13 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:STERLING MONTESSORI (PS)FACILITY NUMBER:
313622397
ADMINISTRATOR:PAOLO SARMIENTOFACILITY TYPE:
850
ADDRESS:821 STERLING PARKWAY, STE 200TELEPHONE:
(916) 434-7000
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY: 58TOTAL ENROLLED CHILDREN: 0CENSUS: 28DATE:
07/06/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Paolo Sarmiento TIME COMPLETED:
12:15 PM
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At approximately 10:15am, Licensing program Analyst (LPA) Amanda Blesi and Licensing Program Manager (LPM) Keven Peters met with licensing representative Paolo Sarmiento to conduct a case management inspection for the purpose of re-measuring the indoor space due to a newly constructed enclosed office area in the front entrance of the facility. New measurements are needed to determine the total square footage of the indoor activity space for the licensed capacity.

INDOOR ACTIVITY SPACE:
LPA and LPM measured the preschool classroom which is divided into two sections using partitions and a space for the school age option. There is an office, a staff restroom, children’s restroom, staff break room, storage room, a small kitchen, and the enclosed lobby area which were not included in the measurements. The indoor space contains a total of 1797.309 square feet which does not accommodate the current licensed capacity of 58 preschool children. The space measures for a maximum of 51 children. In order to meet regulation requirements of 35 square feet per child, licensee shall submit a LIC200 request to decrease capacity to 51 children. Once the application to decrease the capacity is received, a new fire clearance request will be sent out. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Exit interview and notice of site visit provided.
No Title 22 Deficiencies were cited during inspection.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Amanda Blesi
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2021
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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