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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004944
Report Date: 12/18/2024
Date Signed: 12/18/2024 01:28:16 PM

Document Has Been Signed on 12/18/2024 01:28 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 HOUSE OF CHILDRENFACILITY NUMBER:
384004944
ADMINISTRATOR/
DIRECTOR:		ANNA SANDOVALFACILITY TYPE:
860
ADDRESS:1187 FRANKLIN STREETTELEPHONE:
(415) 441-7691
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94109
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: DATE:
12/18/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:President Sunil WijesingheTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Jamel Maiwandi met with President Sunil Wijesinghe for the purpose of an announced pre-licensing inspection at 1187 Franklin Street San Francisco, CA 94109 on 12/18/2024 at approximately 10:30am. Applicant initially requested the addition of 15 toddler children from ages 18 to 36 months, however after indoor measurements were taken, applicant has decided to change capacity to 42 toddler children. The program will operate Monday through Friday from 7:30am to 5:30pm. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

INDOOR ACTIVITY SPACE:
There are five preschool classrooms (A,B,C,D,E) located at the facility, and two staff restrooms, one located upstairs next to the preschool classrooms and one located downstairs in the main office area. Applicant stated they will be changing preschool classrooms A and B located on the second floor to toddler classrooms, LPA informed applicant fire clearance will be needed to allow toddlers on second floor. The isolation area for sick children will be in located in the main office. The facility will not be providing food services and instead will be provided by parents, the food preparation area will be used to store meals and snacks only and will be inaccessible to children. Storage areas will be located in each classroom and staff was reminded that all storage areas shall be kept clean and free of litter and rubbish, and measures shall be taken to keep all such areas free of rodents and other vermin. LPA measured the classrooms which includes a total of 3,046.56 square feet and will not accommodate the applicants request for 15 toddler children and 95 preschool children. New indoor measurements taken will allow for 42 toddler children in classrooms A and B and 44 preschool children in classrooms C, D, E. LPA observed a sufficient amount of equipment, toys, tables, chairs, napping mats, and cubbies in each room. There are first aid kits located in each classroom and the main office as well.

Report continues on page 2
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MONTESSORI HOUSE OF CHILDREN
FACILITY NUMBER: 384004944
VISIT DATE: 12/18/2024
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Medications will be stored and inaccessible to children in locked storage cabinets and accordingly to each individual child in each classroom. Cleaning and disinfectant agents will not be located at the facility and instead an outside cleaning service will be used. Drinking water will be provided for children via parents and the facility will utilize an outside water delivery service and will not provide water onsite. LPA observed a functional carbon monoxide detector in each classroom. A digital sign in and sign out process will be used and a paper sign in and sign out process will be used as a backup. Parents will be responsible for providing sheets, blankets, and pillows for their children. There is a total of 5 toilets and 5 sinks available for children. There is a dedicated landline for the facility. Staff was informed facility shall be kept clean, safe, sanitary and in good conditions at all times to ensure the safety and well-being of children, employees and visitors.

OUTDOOR ACTIVITY SPACE:
There are two outdoor activity areas located in the facility, one located on the second level and one on the first level. Applicant stated the second level outdoor area will be designated for toddlers and the first level for preschool. LPA measured the second level outdoor area, which includes a total of 2,635.44 square feet and will not accommodate the applicants request for 42 toddler children. The outdoor play area located on the first level contains a total of 2,308.08 square feet and will not accommodate the applicants request for 44 preschool children. The play structures on both levels are appropriate for ages 3 and up as per President Sunil Wijesingh, LPA advised applicant to ensure age ratings for both play structures are being adhered to. There is sufficient resilient padding located in the outdoor play areas and there are no bodies of water located on site. There are sufficient toys, play equipment, and materials located in the outdoor play areas. There is sufficient shade provided by surrounding buildings. Applicant stated during inclement weather, raincoats will be used and provided by parents as well as indoor activities. Staff was advised to inspect the outdoor play areas and play structures daily for any potential hazards to children before and after use.

Report continues on page 3
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MONTESSORI HOUSE OF CHILDREN
FACILITY NUMBER: 384004944
VISIT DATE: 12/18/2024
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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, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with President 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.

Staff were 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.

Staff were 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. 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.

Report continues on page 4
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MONTESSORI HOUSE OF CHILDREN
FACILITY NUMBER: 384004944
VISIT DATE: 12/18/2024
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Assembly Bill (AB) 2370, /chapter 676, Statues 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-year 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)

Exit interview conducted and report was reviewed with President Sunil Wijesinghe.

The following is required before a license will be issued:
· Review of application and pending corrections
· Revised std 850 from fire department approving toddlers on second floor
· Waiver request for both outdoor play areas
· Updated LIC 200A with new capacity
· Final LPM Approval

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4