434413022-11-8-2021-52-CC-MESA-C8KU6T-20211108141853

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434413022
Report Date: 11/08/2021
Date Signed: 11/08/2021 04:33:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	DAY STAR MONTESSORI SCHOOL, INC.		FACILITY NUMBER:	434413022
ADMINISTRATOR:	REGINE MONINA GANGOSO		FACILITY TYPE:	850
ADDRESS:	215 DEMPSEY ROAD		TELEPHONE:	(408) 263-1618
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	150	CENSUS: 85	DATE:	11/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:14 AM
MET WITH:	Regine Monina Gangoso		TIME COMPLETED:	02:30 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 Monday, November 08, 2021 at 10:14 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required One (1) Year visit. LPA met with the Director Regine Monina Gangoso and explained the nature of site visit. Present on this visit were 19 staff and 85 preschool children. The facility operates from Monday to Friday 8:30 am to 6:00 pm. LPA toured the facility to conduct a Health and Safety Inspection with the Director. The facility have a three Preschool Classrooms with the following naming convention: (1) Dia, (2) Luz, and (3) Estrella. The Preschool has a Toddler Program that is operating in Classroom Luna and Classroom Sol. Facility was observed to be in compliance with teacher to children ratio requirement during LPA's inspection. The preschool classrooms, restrooms, and storage room were inspected. Director stated that facility does not possess nor store any weapons on the premises. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. LPA reminded facility that storage place for poisons is required to be locked up. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Outdoor activity space for the Toddler Program is physically separated from the Preschool Program. The space are fenced and play equipment were maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water are arranged to be readily available to children during indoor and outdoor activities. SEE 809 C.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: DAY STAR MONTESSORI SCHOOL, INC.	FACILITY NUMBER: 434413022
	VISIT DATE: 11/08/2021

NARRATIVE

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CONTINUATION....

Facility does not have a Kitchen. Facility contracts with a third party vendor (School Caterers) to supply meals for the children if parents choose to sign up for the food service. Trash cans for solid waste had tight-fitting covers on.

Children sign in and out procedures and logs were reviewed. A random sample of Children's files was selected for review. Records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, and Immunization.

There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. A random sample of Staff's files was selected for review. The records reviewed include: Criminal Record and Child Abuse Index Clearance, Health Screening Report with TB Clearance, Education Qualification, records of immunization (Measles and Pertussis), and Training. Staff have their Mandated Reporter Training Certifications in their file and this training needs to be renewed every two years.

Facility does not provide transportation for children but Director understands that children cannot be left alone, unattended in park vehicles. First Aid Kit was inspected. Fire extinguisher was last serviced on July 2021. LPA observed that the facility has a Fire Alarm system. LPA reviewed the Facility's current Fire Permit dated 07/06/2021. Facility conducts monthly Fire and Disaster Drill.

This facility provides Incidental Medical Services – IMS. For IMS information, see Evaluator Manual -
Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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 reviewed storage of medication, equipment/supplies, reviewed children’s and personnel records.

SEE 809 C.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: DAY STAR MONTESSORI SCHOOL, INC.	FACILITY NUMBER: 434413022
	VISIT DATE: 11/08/2021

NARRATIVE

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CONTINUATION....
LPA provided and discussed the following;
1. Santa Clara County Office of Education, Childcare Resource & Referral Program 1290 Ridder Park Drive San Jose, CA 95131-2304 Email: childcarescc@sccoe.org Phone: 669-212-KIDS (5437) Hours: Monday – Friday 8:30 a.m.– 4:30 p.m. https://www.childcarescc.org/child-care-application
2. For questions about registration or your stipend, please call 1-833-398-1399 Hours of operation are 6:00am – 6:00pm CST ARPASurvey@cde.ca.gov
3. PIN 21-21-CCP RELEASE OF THE WRITTEN DIRECTIVES FOR LEAD TESTING OF WATER IN LICENSED CHILD CARE CENTERS PER AB 2370

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

Director 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. 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.

LPA discussed the safe sleep regulations with licensee facility representative 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.

In the areas that were evaluated, no regulatory violation was observed at the time of the visit.
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, Regine Monina Gangoso.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021

LIC809 (FAS) - (06/04)

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