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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004114
Report Date: 04/16/2024
Date Signed: 04/16/2024 09:22:34 AM

Document Has Been Signed on 04/16/2024 09:22 AM - 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:STUDIO MONTESSORI, LLC (PS)FACILITY NUMBER:
384004114
ADMINISTRATOR/
DIRECTOR:
DOMINGO, ROCHELLEFACILITY TYPE:
850
ADDRESS:633 8TH STREETTELEPHONE:
(415) 510-1287
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94103
CAPACITY: 31TOTAL ENROLLED CHILDREN: 24CENSUS: 19DATE:
04/16/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:22 AM
MET WITH:Rochelle Domingo TIME VISIT/
INSPECTION COMPLETED:
09:35 AM
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On April 16, 2024, at approximately 8.30am, Licensing Program Analysts (LPA)Tso met with the Director, Rochelle Domingo for an unannounced inspection of the Plan of Correction (POC). The purpose of the inspection was explained, and the Licensee granted LPA entry to the center. Present, the Director, and 3 teachers are supervising 19 children.

During the complaint investigation on March 25, 2024, the Licensee received a citation for a deficiency. A type B deficiency was cited that the licensee did not ensure the facility’s equipment, buggies clean, sanitary, and free from the droppings of rodent(s).

On 4/5/2024, LPA received the written POC submitted by the Director to take the following actions to ensure the buggies’ cleanness and sanitation.

1. Sweep buggies stored outside twice a day – once in the morning and once in the afternoon.
2. Sanitize buggies with sanitizing wipes before putting children in them to go outdoors.
3. Pressure wash buggies once a week.
4. Sweep hallway once a day.

During today's inspection, LPAs observed the buggies are clean without droppings of rodent(s).

Deficiency cited on March 25, 2024, were cleared today. Plan of Correction letters were provided to the Licensee.

No deficiencies were cited during today’s visit. A notice of site visit was provided and must remain posted for 30 days.

Exit interview was conducted with the Director, Rochelle Domingo.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2024
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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