434416981-12-18-2023-07-CC-SCHN-CYMTX7-20231218140642

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416981
Report Date: 12/04/2023
Date Signed: 12/18/2023 02:07:18 PM

Document Has Been Signed on 12/18/2023 02:07 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 JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	PIEDMONT HILLS MONTESSORI ACADEMY		FACILITY NUMBER:	434416981
ADMINISTRATOR:	CARMEN LARA		FACILITY TYPE:	850
ADDRESS:	1425 OLD PIEDMONT ROAD		TELEPHONE:	(408) 923-5151
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95132
CAPACITY: 65	TOTAL ENROLLED CHILDREN: 65	CENSUS: 53	DATE:	12/04/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Carmen Lara		TIME COMPLETED:	04:00 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	Page 1. Licensing Program Analyst (LPA) , Sheena Chin, conducted an unannounced Required - 3 year inspection of the Preschool. LPA met with the director, Carmen Lara. The owner, Joanne Wu, later came to the facility. LPA explained the purpose of the visit. The Facility is licensed to serve age 2 years through 6 years old in rooms 1 (forest room), 2 (Stem A), 3 (Stem B), and 4 (Ocean room). Hours of operation: 8:30 AM to 6:00 PM, Monday to Friday. The owner stated that the facility does not have weapons on the premises, that smoking is not allowed on the premises and that the facility does not provide any medication. The facility has two playgrounds divided by the fence. The owner stated that the facility does not provide food to children in care but snacks for those children who enrolled before 2023. Observation LPAs toured the indoor and outdoor areas of the Facility with the owner, Joanne Wu. Required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus, and Activity Schedule were observed. The facility has 2 fully charged Fire Extinguishers, functioning smoke/carbon monoxide detectors, First Aid Kit, central heating, and air conditioning. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Disinfectants, cleaning solutions, poisons, sharps, and other items that are dangerous to children were stored inaccessible. Restrooms for children to use were observed to be in operating condition. Play equipment were maintained in a good condition, free of hazards. The facility does not provide food. The owner stated that parents are responsible for preparing food for their child and it was stated in the welcome letter to the facility. The owner said that they used to provide snacks to all children in care but starting early this year they only provide snacks to those children who enrolled before 2023. Trash cans or solid waste had tight-fitting covers on. continue to page 2.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PIEDMONT HILLS MONTESSORI ACADEMY	FACILITY NUMBER: 434416981
	VISIT DATE: 12/04/2023

NARRATIVE

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Observation
The teacher/child ratio was in compliance during today's inspection. 8 toddler children with one teacher in Room 1 (Forest room), 25 children with four teacher in Room 2 (Stem A) and Room 3 (Stem B), and 21 children with 2 teachers in Room 4 (Ocean room). The owner stated that she understands the conditions, limitations, and capacity specifications of the Facility license and that children shall be always supervised within the classroom and in the playground areas.

The playground area is surrounded by appropriate fencing. The facility has two playgrounds divided by fence. Shade is provided by trees. The outdoor equipment is age-appropriate and in good condition. There is a climbing structure in the playground that is age appropriate. Tanbark is used as resilient material throughout the playground. Areas around and under high climbing equipment were cushioned with material that absorbs falls. There were no bodies of water observed.

Records review
Disaster drills shall be conducted at least every six months and be maintained for at least one year. The last drills were conducted on 11/08/2023 .
LPA reviewed facility's sign in/out procedure and record. A sampling of children and staff files was selected for review. Children records reviewed includes Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, Medical Assessment, and immunization. Staff records reviewed include Criminal Record and Child Abuse Index Background Check Clearance, Health Screening Report with TB Clearance, Immunization Record for Measles and Pertussis, Education Qualification, and required Training. LPA advised the director that the AB1207 Mandated Reporter Training needs to be renewed every two years. There was at least one person with documented current certification in Pediatric CPR/1st Aid present at the facility during LPA' inspection.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PIEDMONT HILLS MONTESSORI ACADEMY	FACILITY NUMBER: 434416981
	VISIT DATE: 12/04/2023

NARRATIVE

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Record review
LPA advised the director 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.

Discussion
Water lead test: 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 on 4/2/21. LPA referred the director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

Incidental Medical Services (IMS): This facility does not provide Incidental Medical Services – IMS. 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.

Deficiency
In the areas that were evaluated, no regulatory violations were observed at the time of the inspection.

Exit
Notice of Site Visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the director, .

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023

LIC809 (FAS) - (06/04)

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