406216447-12-12-2024-17-CC-SLOS-DBVPMK-20241212102629

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406216447
Report Date: 12/12/2024
Date Signed: 12/12/2024 10:26:39 AM

Document Has Been Signed on 12/12/2024 10:26 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	ARROYO GRANDE MONTESSORI SCHOOL		FACILITY NUMBER:	406216447
ADMINISTRATOR/ DIRECTOR:	ELIZABETH SILVA		FACILITY TYPE:	850
ADDRESS:	216 OAK STREET		TELEPHONE:	(805) 473-2979
CITY:	ARROYO GRANDE	STATE: CA	ZIP CODE:	93420
CAPACITY: 23	TOTAL ENROLLED CHILDREN: 23	CENSUS: 18	DATE:	12/12/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:55 AM
MET WITH:	Elizabeth Silva		TIME VISIT/ INSPECTION COMPLETED:	10:35 AM

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 12/12/24, at 8:55 AM, Licensing Program Analyst (LPA) Shane Loftus conducted an unannounced Annual/Random Inspection of the Child Care Center (CCC). LPA met with Elizabeth Silva, Director of the CCC and explained the purpose of the inspection. LPA, in the company of Director, toured the interior and exterior of the CCC. The CCC operates from 8:00 AM to 3:30 PM, Monday - Friday. The preschool uses a main classroom, reading room, and an outdoor play area for child care services. LPA observed 18 children on site at the time of the inspection, along with Assistant/Employee Andrew Silva (cleared and associated) providing supervision and care. The CCC's classroom was observed to be clean and well organized. The classroom has age-appropriate toys and furnishings available for children in care. LPA observed the children’s restroom to be clean and free of toxins. The restroom has two entries. One point of entry though the reading room, and the other through the main classroom. The CCC has an operable refrigerator which contained food and beverages. LPA notes children in care bring lunches from their homes, while the CCC provides snacks. LPA observed a facility menu posted as well as required licensing documents near the CCC's main entry/exit. The CCC uses the Pro Care application for electronic Sign In/Sign out records. LPA reviewed a sampling of entries and notes the information is satisfactory. The CCC provides the children filtered water both inside and outside the CCC. 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. Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ARROYO GRANDE MONTESSORI SCHOOL	FACILITY NUMBER: 406216447
	VISIT DATE: 12/12/2024

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
26
27
28
29
30
31
32

LPA observed a carbon monoxide detector in the CCC which was tested (9:15 AM) and found to be operable. Disinfectants, cleaning solutions, and mediations are stored in an elevated cabinet in the CCC's restroom which is inaccessible to children in care. Sharps are stored in an elevated cabinet in the kitchen area of the CCC. Further, the kitchen is barricaded with book shelves, making the sharps inaccessible to children in care.

The CCC’s outdoor playground area is comprised of natural grass, and rubber chip footing. The outdoor area is enclosed by chain linked fencing. The fence’s entry/exit gates are secured. LPA observed age-appropriate toys and play equipment in the play area. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. LPA observed the play structures in the playground area have adequate cushioning materials (i.e. rubber chips) to absorb falls and shade covering in the area provided by tree and building overhangs. LPA observed a shed in an excluded area of the outdoor which contains CCC supplies. The shed is secure. No bodies of water were observed on site. LPA reminded Director to replace play equipment when it begins to degrade and is not in good repair. Waste receptacles with tight fitting covers were observed throughout the center.

The records of staff and children on site was reviewed. The children’s records were complete and found to contain emergency contact information and well as immunization records. Staff records were reviewed and contain current pediatric CPR/First Aid (EMSA) as well as current Mandated Reporter certificates. Director was reminded to keep training certifications current and renew certifications prior to expirations. Director informed LPA no firearms or ammunition is stored on site.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Facility representative was reminded that all adults 18 and over, 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. Continued on 809-C

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ARROYO GRANDE MONTESSORI SCHOOL	FACILITY NUMBER: 406216447
	VISIT DATE: 12/12/2024

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
26
27
28
29
30
31
32

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.

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.

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.

No deficiencies were cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Elizabeth Silva.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3