330910342-3-14-2024-09-CC-SBRR-D3CTX4-20240314150631

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 330910342
Report Date: 03/14/2024
Date Signed: 03/14/2024 03:07:02 PM

Document Has Been Signed on 03/14/2024 03:07 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	COTTONWOOD MONTESSORI		FACILITY NUMBER:	330910342
ADMINISTRATOR:	ANOMA PERERA		FACILITY TYPE:	850
ADDRESS:	4302 PEDLEY RD.		TELEPHONE:	(951) 685-5800
CITY:	RIVERSIDE,	STATE: CA	ZIP CODE:	92509
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 40	CENSUS: 31	DATE:	03/14/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:19 AM
MET WITH:	Anoma Perera, Director		TIME COMPLETED:	03:15 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 03/14/2024 at 8:18 AM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct a 1 year required annual inspection. LPA was granted entry by Director Anoma Perera. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: The licensee agrees to submit updated licensing forms listed below to bring their facility up to date. Normal days and hours of operation are: Monday- Friday, 6:30 AM to 6:00 PM The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days, on or before 04/14/2024: 1. LIC 500 Personnel Report – Requested updated changes. 2. LIC 610 Emergency & Disaster Plan- Requested updated changes. 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization – Requested updated changes. 5. LIC 308 Designation of Administrative Responsibility 6. LIC999 Facility Sketches for Indoor and Outdoor Activity Areas, to include a bird’s eye view of the physical plant. The following items have been posted and are updated where necessary: License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: COTTONWOOD MONTESSORI	FACILITY NUMBER: 330910342
	VISIT DATE: 03/14/2024

NARRATIVE

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· The facility is operating within the terms of the license.
· Ratios were met and appropriate supervision was provided during this inspection, with 31 children and 4 staff present to supervise.
· Classrooms are clean, free of hazards and equipped with age-appropriate furniture. However, LPA observed the classroom 2 countertop to be deteriorating where the children’s handwashing sink and faucet are mounted.
· No weapons stored at the facility on 03/04/2024.
· There are no accessible bodies of water present on 03/14/2024. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to children in the kitchen and refrigerator located in a locked storage room.
· Hazards are NOT stored where inaccessible to children which include: Disinfectants, cleaners and other items that are dangerous. Poisons and toxins are NOT locked. LPA observed cleaning supplies such as bleach, awesome and other cleaning toxins located under the kitchen sink, where the half door is missing the key to secure the kitchen. No children were present in the kitchen at the time of the inspection.
· All floors are clean and safe.
· Bathrooms were observed to be safe, sanitary and in operating condition. The licensee has designated the staff restroom to serve as a temporary Isolation area.
· Outdoor activity areas/playgrounds are enclosed by appropriate fences, free of hazards and are supplied with age and size appropriate equipment in good condition. However, the LPA observed the blacktop throughout the outdoor area to be cracked and raised which is a potential tripping hazard.
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Food is stored appropriately and protected from contamination.
· Storage containers for solid waste, including moveable bins-have tight-fitting covers in good repair
· Menus are posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request. Per director, the authorized representatives provide lunches for children and the facility only provides morning and afternoon snacks.
· Uncontaminated drinking water shall be readily available both indoors and out and provided by tap water, filtered water and refillable water bottles.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall: Facility has natural grass and sand.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: COTTONWOOD MONTESSORI	FACILITY NUMBER: 330910342
	VISIT DATE: 03/14/2024

NARRATIVE

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· Sign in/Sign out record was reviewed and meets regulation requirements on 03/14/2024.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 03/2025
· Opening and closing staff member’s CPR/First Aid expires on 12/2024
· Director completed Health, Safety and Nutrition Training on 10/15/2017, No lead on file.
· Staff qualifications and files were reviewed and are complete on 03/14/2024.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions
Licensee was informed the Department has inspection authority per Health and Safety Codes.
Licensee provided the Unusual Incident Reporting email: UnusualIncidentReportsDO09@dss.ca.gov
· Children files were reviewed and are complete on 03/14/2024.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 02/14/2024.
· AB2370 – Lead Exposure, day care facilities, effective January 1, 2019. Action Level Exceedances were addressed on a separate report.
The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.
· AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021
· AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage for medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. LPA determined there are no current enrolled children requiring IMS at this time. 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 For CCCs: Incidental Medical Services (IMS) policy was discussed.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: COTTONWOOD MONTESSORI	FACILITY NUMBER: 330910342
	VISIT DATE: 03/14/2024

NARRATIVE

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The Director Anoma Perea was reminded that all adults 18 and over working in the facility 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 licensed 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.

LPA Susan Brewer informed Director Anoma Perera of the importance of checking for recalled devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

Deficiencies were cited for Type B Violations this inspection.

No Civil Penalties were cited this visit.

A notice of site visit was given and must remain posted for 30 days. The LPA verified posting requirements prior to exiting the facility.

Exit interview conducted and report was reviewed with the Director Anoma Perera.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/14/2024 03:07 PM - It Cannot Be Edited

Created By: Susan Brewer On 03/14/2024 at 02:00 PM

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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: COTTONWOOD MONTESSORI	FACILITY NUMBER: 330910342
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239(n)

Fixtures, Furniture, Equipment and Supplies

(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation the licensee did not comply with the section cited above in the LPA observed the classroom 2 countertop to be deteriorating where the children’s handwashing sink and faucet are mounted, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/15/2024
	Plan of Correction
1 2 3 4	The licensee agrees to submit a plan to ensure the fixtures, furniture and equipment shall be maintained in good condition, by submitting a plan to replace or repair the damages to the countertop located in classroom 2. The licensee also agrees to submit proof of repairs by fax, mail or e-mail.

Type B

Section Cited

CCR

101238.2(d)(2)

Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation licensee did not comply with the section cited above in LPA observed the blacktop throughout the outdoor area to be cracked and raised, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/15/2024
	Plan of Correction
1 2 3 4	The licensee agrees to ensure the surface of the outdoor activity space shall be maintained, by submitting a plan to repair the damaged cracks in the blacktop in the outdoor activity area. The licensee also agrees to submit proof of repairs by fax, mail or e-mail.

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:

Kimberly Williams

LICENSING EVALUATOR NAME:

Susan Brewer

LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

LIC809 (FAS) - (06/04)

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