<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 535407760
Report Date: 09/16/2021
Date Signed: 10/04/2021 10:43:28 AM

Document Has Been Signed on 10/04/2021 10:43 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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:KINDER KIDS MONTESSORI INCFACILITY NUMBER:
535407760
ADMINISTRATOR:EDWARDS, JOLENEFACILITY TYPE:
850
ADDRESS:31341 STATE HIGHWAY 3TELEPHONE:
(530) 739-1161
CITY:WEAVERVILLESTATE: CAZIP CODE:
96093
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
09/16/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jolene EdwardsTIME COMPLETED:
11:45 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 9/16/21, at 10:15 am, an annual inspection was made to the facility by Licensing Program Analyst (LPA), Wisehart and met with the Director. The facility file was reviewed prior to this inspection. A review of the personnel report on 9/16/21, indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility’s operating hours are 7:45 am - 5:15 pm, Mon-Fri and they follow the school calendar. The facility was toured at 10:38 am inside and outside and the floor and yard plan submitted by the licensee were verified.

There are no pools or similar bodies of water. The Director stated no firearms or weapons are stored on site and none were observed. The items which could pose a danger to children (such as disinfectants, cleaning solutions and medications) are inaccessible to children. Poisons are locked in back storage room. Furniture and equipment are in good condition, free of hazards, and age appropriate. The outdoor activity space was cushioned with turf grass and wood chip material and is free of hazards. The licensee has a waiver to allow up to 27 children/toddlers to share the use of the playground activity area, by way of scheduling and licensee is meeting the terms of the waiver. Toilets and sinks are in sanitary condition and operating properly. The facility floors were clean and safe. The kitchen/food preparation area is clean, and free of litter or rodents. Children's families provide snacks and lunches. Trash cans have tight fitting lids. Drinking water is available to children both inside and outside via fountains and personal water bottles. The facility was free of flies, insects and rodents. The facility has a working carbon monoxide detector and smoke detector.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Carrie Wisehart
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2021
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: KINDER KIDS MONTESSORI INC
FACILITY NUMBER: 535407760
VISIT DATE: 09/16/2021
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
During today's inspection, 2 staff records were reviewed at 10:40 am. Staffing ratios were being met and there were 11 preschool children being supervised by 2 teachers/aides. Children are not left without visual supervision at any time. The facility was operating within the licensed capacity. At least one staff member present during the visit (S1) possessed current CPR and First Aid certifications (expires 8/22). The sign in/out sheet was reviewed, and representatives are using full signatures and recording the time. Staff are provided on-the-job training, including sanitation and universal health precautions. Staff have health screenings and immunization's on file, along with the required Mandated Reporter training except for S2 whose expired 9/1/21 and who is renewing the certificate. Children with symptoms of illness are not accepted, and children who become ill during the day are isolated in library on a cot.

Six children’s records were reviewed at 10:58 am and contained emergency identification forms and medical assessments.

All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection though an advisory was issued.
SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Carrie Wisehart
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2