364841885-4-5-2022-09-CC-SLOZ-CD7QQD-20220405122211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364841885
Report Date: 04/05/2022
Date Signed: 04/05/2022 12:22:15 PM

Document Has Been Signed on 04/05/2022 12:22 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	ST. MARY'S MONTESSORI SCHOOL		FACILITY NUMBER:	364841885
ADMINISTRATOR:	MARTINEZ DESERIE		FACILITY TYPE:	850
ADDRESS:	6880 N VICTORIA WINDROWS LOOP		TELEPHONE:	(909) 200-2727
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91739
CAPACITY:	122	CENSUS: 86	DATE:	04/05/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Director Deserie Martinez and Administration Manager Emily Turner		TIME 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	Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for an increase in capacity. The facility is requesting to increase the Preschool Program capacity from 122 to 212. A Fire Clearance was granted on 3/29/2022. The days and hours of operation will remain the same: Monday through Friday; 6:30am to 6:30pm. LPA Lopez toured the facility and measured the rooms that are assigned to the Preschool Program, in both Building A and Building B. Based on the measurements taken, the following was determined: Preschool Indoor Activity Areas LPA has determined that there is sufficient space to accommodate 209 children. Preschool Bathroom Fixtures 17 toilets x 15 = 255 children 21 sinks x 15 = 315 children Preschool Outdoor Activity Area: LPA has determined that there is sufficient space to accommodate 221 children. This is the total space when playground located in Building A and Building B are combined. The playground in Building A will also be shared with the Private Elementary. A waiver will be submitted for sharing the playground. Limiting factor for preschool capacity is the square footage. Preschool capacity is limited to 209 children.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ST. MARY'S MONTESSORI SCHOOL	FACILITY NUMBER: 364841885
	VISIT DATE: 04/05/2022

NARRATIVE

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The following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Water dispensers supply drinking water in the indoor activity space and water Igloos/Jugs supply the outdoor play space
· Playgrounds are enclosed by appropriate fences - Both A and B
· Outdoor activity areas are supplied with age and size appropriate equipment
· An adequate amount of cushioning material (rubber material) is in place under play equipment
· Adequate shade is provided
· The office area is located in Building B and serves as the isolation area for ill children temporarily until parents arrive
· Toxins are locked
· Medication is stored in the front office and in each classroom, and located in a secured and locked cabinet
· First Aid kit is complete
· Sign in/Sign out record was reviewed and meets regulation requirements
· The Director and Administration Manager were informed of their reporting requirements and were provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov

· A review of staff records on 4/5/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

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.

The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:

1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ST. MARY'S MONTESSORI SCHOOL	FACILITY NUMBER: 364841885
	VISIT DATE: 04/05/2022

NARRATIVE

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There were no deficiencies observed during today's inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

The following items need to be completed/corrected prior to approval of the increase in capacity:

1. Waiver for the shared playground must be approved

Exit interview conducted and report was reviewed with the Director Deserie Martinez and Administration Manager Emily Turner

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022

LIC809 (FAS) - (06/04)

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