343626077-1-23-2025-03-CC-ASIS-DD84SZ-20250123182222

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343626077
Report Date: 01/23/2025
Date Signed: 01/23/2025 06:22:31 PM

Document Has Been Signed on 01/23/2025 06:22 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	BERGAMO MONTESSORI SCHOOL		FACILITY NUMBER:	343626077
ADMINISTRATOR/ DIRECTOR:	LAURA BRENNAN		FACILITY TYPE:	860
ADDRESS:	8200 POCKET ROAD		TELEPHONE:	(916) 399-5891
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95831
CAPACITY: 84	TOTAL ENROLLED CHILDREN: 84	CENSUS: 82	DATE:	01/23/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Kisha Modeste		TIME VISIT/ INSPECTION COMPLETED:	12:30 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	Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Director Kisha Modeste for the purpose of a pre-licensing change of ownership inspection. Applicant requests an infant component for 12 infants ages 3-24 months, a toddler component for 12 toddlers ages 18-36 months, and a preschool component for 60 preschool children ages two years to entry into first grade. 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 9/6/2024. The facility will be providing morning and afternoon snack. Parents will provide formula, breast milk, and baby food for their children. LPA reviewed with Director 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 Director 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 Director 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 is one infant classroom located in the Nido Room, one toddler classroom located in the Toddler Community Room, and three preschool classrooms located in the Almost Home Room, Blu Room, and Rosso Room. LPA observed a sufficient amount of equipment, toys, tables, chairs, high chairs, cubbies, and napping cots. Report continues on LIC809-C page 2.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BERGAMO MONTESSORI SCHOOL	FACILITY NUMBER: 343626077
	VISIT DATE: 01/23/2025

NARRATIVE

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Page 2.

LPA observed twelve montessori bed boxes located in the crib area which is separated from the activity space using a four foot tall plexiglass wall partition. Applicant has requested a waiver for the bed boxes. There is a first aid kit in each of the classrooms. Medications will be stored in each classroom in the medicine cabinet. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Director stated there are no poisons or firearms on the premises. Director stated there will be a water bottles available in the classroom. LPA observed a functional carbon monoxide detector in the kitchen and the preschool classrooms. LPA observed an electronic sign-in/sign-out system.

LPA measured the infant classroom. The total classroom space contains a total of 580 square feet, which will accommodate Applicant's request for 12 infants. LPA observed two sinks within arm's reach of a changing table. LPA measured the toddler classroom. The total classroom space contains a total of 744 square feet, which will accommodate Applicant’s request for 12 toddlers. There is one toilet and three sinks for the toddlers. LPA measured the preschool classrooms. The total classroom spaces contain a total of 2,693 square feet, which will accommodate Applicant’s request for 60 preschool children. There are four toilets and six sinks for the preschool children. LPA observed a separate private restroom for the staff located in the preschool Almost Home Room. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the back office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There are three outdoor areas on the property, Infant Yard, Toddler/Preschool Yard, and Preschool/Elementary Yard. The outdoor play area is fenced with a wrought iron fence that is at least four feet tall and separates the infant yard from the toddler/preschool yard and preschool/elementary yard. There is a play structure located on the toddler/preschool yard which is designated for children ages 2-5 years and there is a play structure located on the preschool/elementary yard which is designated for ages 6 and above. LPA observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees, canopies, and overhangs.

LPA measured the infant outdoor activity space. The outdoor play area contains a total of 530 square feet, which will only accommodate 7 infants. Applicant has requested an Insufficient Outdoor Space Waiver.

Report continues on LIC809-C page 3.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BERGAMO MONTESSORI SCHOOL	FACILITY NUMBER: 343626077
	VISIT DATE: 01/23/2025

NARRATIVE

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LPA measured the toddler/preschool outdoor activity space. The outdoor play area contains a total of 4,507 square feet, which will accommodate Applicant’s request for 12 toddlers and 60 preschool children. Applicant has requested a Shared Outdoor Space Waiver. LPA measured the preschool/elementary outdoor activity space. The outdoor play area contains a total of 16,140 square feet, which will accommodate Applicant’s request for 60 preschool children. Applicant has requested a Shared Outdoor Space Waiver. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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) or (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

LPA discussed the following: 100% supervision is required at all times; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Director 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.

Director 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Director was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Report continues on LIC809-C page 4.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: BERGAMO MONTESSORI SCHOOL	FACILITY NUMBER: 343626077
	VISIT DATE: 01/23/2025

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Written Directives for Lead Testing in Child Care Centers: Assembly Bill 2370, Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child Care Centers constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

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 Director, Kisha Modeste.

The following items are required before a license will be issued:

1. Pending review of Montessori Bed Box Waiver request.
2. Pending review of Shared Outdoor Space Waiver for Toddlers and Preschool request.
3. Pending review of Shared Outdoor Space Waiver for Preschool and Elementary request.
4. Pending review of Insufficient Outdoor Space Waiver for Infants request.
5. Full Director packet for Kisha Modeste.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

LIC809 (FAS) - (06/04)

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