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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300627
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:18:05 PM

Document Has Been Signed on 01/26/2023 02:18 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MONTESSORI SCHOOL OF OCEANSIDEFACILITY NUMBER:
376300627
ADMINISTRATOR:DODD, BRENDAFACILITY TYPE:
850
ADDRESS:3529 CANNON ROAD, SUITE 2H-2TELEPHONE:
(760) 941-3883
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 125TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/26/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Brenda DoddTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA), Ana Noble conducted a pre-licensing inspection this date for a proposed Preschool Program. The days and hours of operation will be: Monday-Friday 7 am-5:30 pm. LPA met with Brenda Dodd, Center Director who led a tour of the facility at 10:15 AM. The playground that will be used is located at across the same address different suite number at license #376600520. LPAs conducted COVID-19 screening questions prior to entry and provided technical assistant regarding staying updated on COVID safe protocal through department website and PINs issued to ensure the health and safety of children.
The facility was toured inside and out, and the following was observed:
· Classrooms 2H is not adequately equipped with age and size appropriate furniture and equipment
· Brita Pitcher and children containers, supply drinking water in the indoor activity space
· Playground is enclosed by a wrought iron and chain link fence.
· Outdoor activity area is supplied with age and size appropriate equipment
· There are no accessible bodies of water present. If wading pools or similar products are used, they must be emptied immediately after use and stored in an upright position.
· An adequate amount of cushioning material wood mulch is in place under play equipment
· Adequate shade is provided by canopy
· Drinking water is provided in the outdoor play area by drinking fountain and children's own water dispenser brought from home.
· Food preparation area is equipped with refrigerator, sink with hot and cold running water, storage area, utensils, and adequate amount of food supplies.
· The office area is located near the entrance building - 3525 Cannon Road, across the parking lot.
· Director's office will serve as the isolation area for ill children temporarily until parents arrive.
· There is a working telephone located in the facility.
· Medication will be stored in the locker storage closet which is inaccessible to children.
· Storage area for toxins and poisons is locked, located in lock storage closet.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI SCHOOL OF OCEANSIDE
FACILITY NUMBER: 376300627
VISIT DATE: 01/26/2023
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· Medication administration forms were reviewed.
· First Aid kit is complete with all required items.
· Sign in/Sign out record was reviewed and meets regulation requirements
· Parent Board located at the entrance of both suites with all required forms.
· Carbon Monoxide Detector located above the children's restroom door.

Measurements were taken and the following was determined:
Preschool Indoor Activity Areas:
LPA has determined that there is sufficient space to accommodate 61 children.
Preschool Bathroom Fixtures
3 toilets x 15 = 45 children
5 sinks x 15 = 75 children
Preschool Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 134 children.

Limiting factor for Preschool capacity is the toilets. Fire Clearance granted on 1/13/2023 for 45 preschool children. Preschool capacity is limited to 45 children.

During the inspection, the following was reviewed with Facility Representative:
· Component II Orientation was completed
· The applicant was informed of their reporting requirements and provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO10@dss.ca.gov
· The importance of checking for recalled infant (children) devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant (children) devices with the CPSC to be notified of any recalls on their purchased equipment.

· Provider Information Notice (PIN) 22-20-CCP: Resources and Requirements on Lead Testing in Child Care

· LPA reviewed 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 if the facility will provide the services. 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

SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI SCHOOL OF OCEANSIDE
FACILITY NUMBER: 376300627
VISIT DATE: 01/26/2023
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· 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.

Facility representative 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.

A review of staff records on 1/25/2023 indicates that the applicant and/or designated individual who is required to have caregiver background checks have received criminal record and child abuse index clearances or exemptions. The applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations858@dss.ca.gov

LPA discussed the safe sleep regulations with facility representative Brenda Dodd 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 facility representative 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.

LPA reviewed with Facility representative the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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.

SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI SCHOOL OF OCEANSIDE
FACILITY NUMBER: 376300627
VISIT DATE: 01/26/2023
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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 following items need to be completed/corrected prior to a license being issued:

1. Set up classroom in suite 2H with all children equipment and activities, submit pictures of classroom from the front toward the back and one from the back towards the front of classroom.
2. Place step stool in the children restroom that has the larger toilet and sink, submit pictures.

Once all corrections have been made, with proof sent to licensing, the application will be submitted for approval with a maximum capacity of 45 children. As agreed upon by facility representative, Brenda Dodd, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application will be denied.
If all corrections are approved and facility licensed, you must have the drinking water outlets used for drinking and cooking tested for lead and post the results within 180 days of licensure. Exit interview conducted and report was reviewed with Facility representative, Brenda Dodd.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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