384000667-8-23-2024-05-CC-JTSE-D8EVA3-20240823161515

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000667
Report Date: 08/23/2024
Date Signed: 08/23/2024 04:15:50 PM

Document Has Been Signed on 08/23/2024 04:15 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	MONTESSORI SCHOOL OF THE BAY AREA INC. - INFANT		FACILITY NUMBER:	384000667
ADMINISTRATOR/ DIRECTOR:	DAVID THATHIAH		FACILITY TYPE:	830
ADDRESS:	1550 EDDY STREET		TELEPHONE:	(415) 292-7970
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94115
CAPACITY: 18	TOTAL ENROLLED CHILDREN: 18	CENSUS: 13	DATE:	08/23/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:40 PM
MET WITH:	Director, Vasi Thathiah		TIME VISIT/ INSPECTION COMPLETED:	04:30 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	On 8/23/2024, at approximately 1:40PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Director Vasi Thathiah (D1) and explained the purpose of the visit. Present during the visit was D1, five staff members, and 13 infants. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 7:00AM to 6:00PM. This facility is a combination infant and preschool center. The preschool center’s facility number is 380505730. LPA and D1 inspected the facility for any health or safety hazards. The facility is equipped with a fully charged 2A10BC fire extinguisher. There are operational carbon monoxide detectors present. There is a fire alarm system running throughout the facility. Emergency exits are clearly marked and visible. Evacuation routes are posted and accessible for review in each room. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. LPA observed the facility to be in clean and orderly condition. LPA observed age-appropriate toys and learning materials to be present. Furniture was observed to be age-appropriate and free of rough or sharp edges. There are cubbies available for each infant in care. LPA observed there to be two diaper changing stations present. Both diaper changing stations are within hands reach of a handwashing sink. LPA observed extra diapers, wipes, and cleaning materials to be stored accessible for staff to use. Per D1, food and milk are provided from home. LPA observed bottles of milk to be appropriately labeled and stored properly in a refrigerator. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI SCHOOL OF THE BAY AREA INC. - INFANT	FACILITY NUMBER: 384000667
	VISIT DATE: 08/23/2024

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LPA and D1 inspected the facility’s napping room. LPA observed there to be temperature and ventilation controls for the safety and comfort of children in care. LPA observed there to be 10 cribs available. There are mats available for infants who are capable of climbing out of a crib unassisted. LPA observed the following:

1) An infant was swaddled while napping
2) Mesh baby bumpers attached to the side of each crib
3) Blankets and toys located in cribs with napping infants
4) Sleep sacks present in cribs

LPA informed D1 that their observations showed violations of infant safe sleep regulations. LPA discussed infant safe sleep regulations with D1. D1 stated that they understood. D1 and staff removed baby bumpers, blankets, sleep sacks, and toys from each crib. D1 removed the swaddle from the sleeping infant. LPA informed D1 that a deficiency would be cited for swaddling an infant, and that technical violations would be issued for the other violations. D1 stated that they understood. LPA advised that all staff shall be made aware of safe sleep regulations and that parents shall be informed of safe sleep requirements for the facility.

LPA observed the outdoor play area to be free of debris and other loose articles. LPA observed there to be age-appropriate toys and equipment available for children in care. LPA advised that D1 shall ensure that children from either center are not co-mingling during outdoor play. D1 stated that they understood. There are no pools or other similar bodies of water present in the facility.

LPA reviewed five staff files, eight children’s files, and facility records. All staff have current Pediatric First Aid/CPR and Mandated Reporter training available for review. Staff qualifications and transcripts are available for review. LPA advised that all staff shall have immunization records available for review. D1 stated that they understood. LPA observed all children’s files to be complete, including Individual Infant Sleeping Plans (LIC9227). Infant sleeping logs are available for review. LPA advised that sleeping logs shall be kept for all infants in care. D1 stated that they understood.

Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI SCHOOL OF THE BAY AREA INC. - INFANT	FACILITY NUMBER: 384000667
	VISIT DATE: 08/23/2024

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Facility representative was reminded that all adults 18 and over, 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or 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.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI SCHOOL OF THE BAY AREA INC. - INFANT	FACILITY NUMBER: 384000667
	VISIT DATE: 08/23/2024

NARRATIVE

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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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care
Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; 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.

See LIC809-D for deficiency cited today regarding infant safe sleep. See LIC9102-TV for technical violations issued today regarding infant safe sleep. See LIC9102-TA for technical assistance provided today regarding infant safe sleep.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided and explained to D1.

Exit interview conducted and report was reviewed with the facility representative, Vasi Thathiah.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/23/2024 04:15 PM - It Cannot Be Edited

Created By: Jonathan Tse On 08/23/2024 at 03:50 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI SCHOOL OF THE BAY AREA INC. - INFANT	FACILITY NUMBER: 384000667
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101430(a)(3)(C)

Infant Care Activities

(C) An infant shall not be swaddled while in care. 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 by swaddling a napping infant which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/06/2024
	Plan of Correction
1 2 3 4	D1 removed the swaddle from the infant during the visit. LPA discussed safe sleep regulations with D1. LPA advised that sleep sacks are considered swaddling devices and are not to be used for infants. D1 stated that they understood. This deficiency shall be cleared during the visit.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Ali Zebila

LICENSING EVALUATOR NAME:

Jonathan Tse

LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

LIC809 (FAS) - (06/04)

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