434415538-9-30-2024-52-CC-JZHU-D9LUY9-20240930155934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415538
Report Date: 09/30/2024
Date Signed: 09/30/2024 03:59:43 PM

Document Has Been Signed on 09/30/2024 03:59 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	GUIDEPOST MONTESSORI AT PALO ALTO		FACILITY NUMBER:	434415538
ADMINISTRATOR/ DIRECTOR:	KANG, YING JIAO		FACILITY TYPE:	850
ADDRESS:	930 EMERSON STREET		TELEPHONE:	(650) 382-0550
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94301
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 30	DATE:	09/30/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:15 AM
MET WITH:	Elizabeth "Leigh" Green		TIME VISIT/ INSPECTION COMPLETED:	04:15 PM

NARRATIVE

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On 09/30/2024 at 10:15am, Licensing Program Analysts (LPAs) Jialing “Julianne” Zhu and Christina Uribe met with facility representative, Elizabeth “Leigh” Green for an unannounced annual inspection. LPAs also met with Director Kayla Hackett remotely. Present during the inspection seven (7) fingerprint-cleared staff, and 30 children (18 preschoolers and 12 toddlers) in care. The facility was toured to conduct a Health and Safety Inspection. The facility’s current hours of operation are Monday - Friday from 7:30am - 6:00pm. The facility is a preschool licensed with a toddler (18-36 months of age) component. The facility has a waiver for the outdoor play area that allows for both preschoolers and toddlers to use.

Classrooms: This facility has four (4) classrooms, and three (3) are currently in use. All classrooms were inspected for age-appropriate furnishings, equipment, and adequate storage for children’s belongings. LPA observed the cleanliness of floors and surfaces. The facility is equipped with fully charged 3A10BC fire extinguishers and first aid kits, which are accessible throughout the facility. Combination smoke and carbon monoxide detectors were present at the facility but not tested by LPA today. LPA inspected the napping equipment and observed them to be stored in a healthful manner. Drinking water is accessible by children in the classrooms. LPA observed the changing station to be set-up and maintained according to Title 22 regulations.

Food Service Areas: The facility provides AM/PM snacks to children in care, and children bring lunch from home. All center provided food items are properly labeled and stored separately from cleaning supplies. Food prep area is clean and adequately equipped. Snack menus are posted and were reviewed. Solid waste bins are equipped with tight fitting lids.

Bathrooms: Facility has separate staff and child designated bathrooms. Toilets and faucets are in safe, sanitary, and operating condition. The children are able to reach the sinks, toilets, and supplies.

Page 1 of 3. See LIC 809C.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

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 13

Document Has Been Signed on 09/30/2024 03:59 PM - It Cannot Be Edited

Created By: Jialing Zhu On 09/30/2024 at 02:38 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GUIDEPOST MONTESSORI AT PALO ALTO	FACILITY NUMBER: 434415538
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/30/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(g)

Buildings and Grounds

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. 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 as LPAs observed a knife was accessible to children in care in the food prep area, which is directly across from the bathrooms used by preschoolers, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/30/2024
	Plan of Correction
1 2 3 4	Director will conduct a meeting with facility staff to review the licensing requirement that all hazardous items like knives are stored in an area fully inaccessible to the children in care. A written statement of understanding of this regulation will be reviewed and signed by all staff members. LPA Zhu will return to facility to conduct record review to ensure the Plan of Correction has been met.

Type B

Section Cited

CCR

101429(a)(2)(B)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as15-minute sleep checks were being conducted inconsistently and not for every infant, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/30/2024
	Plan of Correction
1 2 3 4	Facility staff will consistently conduct and document 15 minute sleep checks for toddlers under the age of 24 months. LPA Zhu will return to facility to conduct record review to ensure the Plan of Correction has been met.

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:

Chandra Charles

LICENSING EVALUATOR NAME:

Jialing Zhu

LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

Page: 2 of 13

Document Has Been Signed on 09/30/2024 03:59 PM - It Cannot Be Edited

Created By: Jialing Zhu On 09/30/2024 at 02:45 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GUIDEPOST MONTESSORI AT PALO ALTO	FACILITY NUMBER: 434415538
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/30/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101419.2(a)

(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as 2 of 2 toddler (under 24 months old) files reviewed by LPA did not have Infant Needs & Services Plans, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/30/2024
	Plan of Correction
1 2 3 4	Director will ensure all toddlers under the age of 24 months will have an Infant Needs & Services Plan by the Plan of Correction due date. LPA Zhu will return to facility to conduct a record review to ensure the Plan of Correction has been met.

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:

Chandra Charles

LICENSING EVALUATOR NAME:

Jialing Zhu

LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

Page: 11 of 13

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GUIDEPOST MONTESSORI AT PALO ALTO	FACILITY NUMBER: 434415538
	VISIT DATE: 09/30/2024

NARRATIVE

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Outdoor Play Area: The playground outside is fenced and all equipment and surfaces are free from hazards. There is ample shade available. There are age-appropriate outdoor toys and materials for the children. The play structure is securely installed into the ground. The ground surrounding the play structure is sufficiently padded with rubber mats and in good condition for safety. Drinking water is accessible by children. There are no bodies of water or free-standing water accessible to children.

Files and Record Keeping Review: LPAs reviewed the facility roster and personnel report and copies were obtained. All individuals subject to criminal record review have a clearance and/or exemption and have been associated to the facility. LPA reviewed four (4) staff files. At least one opening/closing staff member has a current Pediatric CPR/First-Aid Certification. Mandated Reporter Training certificates were reviewed and current. LPA reviewed 11 children’s files. The center utilizes an electronic sign-in/out system. Fire/disaster drills are performed at least once every six months. The last drill was a fire drill conducted on 09/03/2024. There are no firearms on the premises. All required documents, including waivers are posted in a publicly accessible area.

Record Keeping and Reporting Requirements: Director was reminded that EMSA approved Pediatric CPR and First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting https://mandatedreporterca.com/. Personnel and facility roster must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented. Effective August 1, 2003 California Law requires Child Care Licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury Form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within seven (7) business days. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov.

Criminal Record Clearance: Director 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.

Page 2 of 3. See LIC 809C.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

Page: 12 of 13

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GUIDEPOST MONTESSORI AT PALO ALTO	FACILITY NUMBER: 434415538
	VISIT DATE: 09/30/2024

NARRATIVE

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Lead Testing: 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. LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS): This facility does provide Incidental Medical Services (IMS). For IMS information see PIN 22-02-CCP. 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/resources/child-care-centers/.

CCLD Information and Updates: 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 platforms. 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.

Three (3) Type B deficiencies and eight (8) Advisory Notes were issued during today’s inspection.

Type B Deficiencies: regarding Infant Needs and Services Plans, 15-minute sleep checks, and hazardous item (knife) accessible to children in care. (See LIC 809Ds for more details.)

Advisory Notes (Technical Violations): regarding proof of influenza immunizations for 4 staff members, presence of fruit flies, staff and children’s files not readily available for review, proof of TB results for 2 staff members, missing LIC 9052 Employee Rights for 3 staff, LIC 701 Physician’s Reports without parent signatures, missing LIC 627 Consent for Emergency Medical Treatment for 3 students, no written authorization from parents to enroll children in Toddler Option classroom for 2 toddlers. (See LIC 9102 (TV) for more details.)

A Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted, report was reviewed, and Appeal Rights were provided to facility representative, Elizabeth “Leigh” Green and with Director Kayla Hackett remotely. Page 3 of 3. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

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