343624906-5-22-2023-03-CC-ASIS-CS3P5M-20230522110059

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343624906
Report Date: 05/22/2023
Date Signed: 05/22/2023 04:17:00 PM

Document Has Been Signed on 05/22/2023 04:17 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	LAND PARK MONTESSORI PRESCHOOL		FACILITY NUMBER:	343624906
ADMINISTRATOR:	JAYASENA, CHARUNIKA		FACILITY TYPE:	850
ADDRESS:	5700 S. LAND PARK DRIVE		TELEPHONE:	(916) 429-1234
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95822
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 46	DATE:	05/22/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Charunika Jayasena		TIME COMPLETED:	11:30 AM

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	Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Chris Bello met with Applicant/Director Charunika Jayasena for the purpose of an announced pre-licensing change of ownership inspection. Applicant requests to serve 50 preschool children from age 2 years to entry into kindergarten and 10 toddlers age 18-36 months under the Toddler Option Program. The program will operate Monday through Friday from 7:00 a.m. to 6:00 p.m. The fire clearance was granted and received on 4/6/2023. The facility will provide breakfast, lunch, and afternoon snacks. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant 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. INDOOR ACTIVITY SPACE: There are two preschool classrooms and one toddler classroom. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. Medication and first aid kit is in the kitchen. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. AS observed water pitcher and individual cups in the classroom. AS observed a functional dual smoke and carbon monoxide detector in the classroom. AS observed a sign-in/sign-out binder. Report continues on LIC809-C.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LAND PARK MONTESSORI PRESCHOOL	FACILITY NUMBER: 343624906
	VISIT DATE: 05/22/2023

NARRATIVE

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LPA discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the applicant, Charunika Jayasena.

The following items are required before a license will be issued:
1. Final file review from Licensing Program Manager (LPM)
2. Final control of property

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: LAND PARK MONTESSORI PRESCHOOL	FACILITY NUMBER: 343624906
	VISIT DATE: 05/22/2023

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AS measured three classrooms. The preschool classrooms space contains a total of 1,808 square feet and the toddler classroom contains a total of 397 square feet, which will accommodate applicants requests for 50 preschool children and 10 toddler children. There are six toilets, two urinals,and seven sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. The space is divided to create a preschool yard (located on the left side) and a toddler yard (located on the right side). The outdoor play area is fenced with a chain link fence and wooden fence that is at least four feet tall. There is a small plastic gate separating the preschool yard from the toddler yard. AS observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees, overhangs, and a canopy. There is a small play structure cushioned by bark that it approved for ages for two years and above.

AS measured the outdoor activity spaces. The toddler outdoor play area contains a total of 2,205 square feet and the preschool outdoor play area contains a total of 10,148 square feet, which will accommodate Applicant's request for 50 preschool children and 10 toddler children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

Report continues on LIC809-C.

SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

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