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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 075700616
Report Date: 09/26/2024
Date Signed: 09/27/2024 09:32:52 AM

Document Has Been Signed on 09/27/2024 09:32 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GUIDEPOST MONTESSORI AT CROW CANYONFACILITY NUMBER:
075700616
ADMINISTRATOR/
DIRECTOR:
KAYLA HACKETTFACILITY TYPE:
860
ADDRESS:2671 CROW CANYON RDTELEPHONE:
(925) 905-1616
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY: 155TOTAL ENROLLED CHILDREN: 155CENSUS: 0DATE:
09/26/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Kayla HackettTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Head of School (Director) Kayla Hackett for the purpose of a pre-licensing inspection. Applicant is requesting an infant component for 12 infants ages 0-24 months, a toddler component for 41 toddlers ages 18-36 months, and a preschool component for 97 children from age two years to entry into kindergarten for a total capacity of 150. The program will operate Monday through Friday from 7:00 a.m. to 6:00 p.m. The facility currently provides morning and afternoon snack. The parents will provide formula, breast milk, and baby food.

LPA reviewed with Director the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed the safe sleep regulations with Director 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.

INDOOR ACTIVITY SPACE:
There is one infant classroom located in Room #2, two toddler classrooms located in Rooms #3 and #4, and three preschool classrooms located in Rooms #1, #5, and #6. LPA observed a sufficient amount of equipment, toys, tables, chairs, and cubbies. In Room #2, LPA observed a crib area divided with a four foot wall partition. LPA observed two cribs available. LPA observed napping cots for the older infants, toddlers and preschool children. There is a first aid kit in each of the classrooms. Medications will be stored in each classroom inside the cabinets and emergency backpacks. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Director stated there are no poisons or firearms on the premises. Director stated water pitchers and cups will be provided for each class. LPA observed a dual smoke and carbon monoxide detector through out the building. LPA observed an electronic sign-in/sign-out system.

Report continues LIC809-C page 2.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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 4
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 CROW CANYON
FACILITY NUMBER: 075700616
VISIT DATE: 09/26/2024
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Page 2.

LPA measured the infant classroom (Room #2). The infant classroom contains a total of 429 square feet which will accommodate Applicant’s request for 12 infants. LPA measured the toddler classrooms (Room #3 and #4). The toddler classroom spaces contain a total of 1,468 square feet which will accommodate Applicant’s request for 41 toddlers. LPA measured the preschool classrooms (Rooms #1, #5, and #6). The preschool classroom spaces contain a total of 3,427 square feet which will accommodate Applicant's request for 97 preschool children. There is one toilet, two sinks, and a diaper changing table within arm’s reach of the sink located in Room #2. There are four toilets and six sinks located in Rooms #3 and #4. There are six toilets and nine sinks located in Rooms #1, #5, and #6, There is a private restroom for staff located in the hallway and two more upstairs. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the Director's office and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There are two outdoor areas on the property (Infant/Toddler Play Area and Children’s House Play Area). Applicant has requested a Shared Outdoor Space Waiver for the infants and toddlers. Both outdoor play areas are fenced with a chain link/wooden fence that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There are two play structures located on both the infant/toddler yard and preschool yard. LPA observed a safety label on the play structures which is approved for ages 6m - 23 m on the infant/toddler yard and approved for ages 2-5 years on the preschool yard. There are no bodies of water on the premises. There are shaded areas supplied by trees and canopies.

LPA measured the Infant/Toddler Play Area. The infant/toddler outdoor activity spaces contain a total of 1,590 square feet which will only accommodate 21 children at a time. Applicant will need to request an Insufficient Outdoor Space Waiver for the toddler component. LPA measured the Children’s House Play Area. The preschool outdoor activity space contains a total of 7,402 square feet which will accommodate Applicant’s request for 97 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Report continues on LIC809-C page 3.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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 CROW CANYON
FACILITY NUMBER: 075700616
VISIT DATE: 09/26/2024
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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 discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Director any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Director was informed of the MyChildCarePlan.org site, 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.

Report continues on LIC809-C page 4.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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 CROW CANYON
FACILITY NUMBER: 075700616
VISIT DATE: 09/26/2024
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Page 4.

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 platform. 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.

Exit interview conducted and report was reviewed with Director Kayla Hackett.

The following items are required before a license will be issued:
1. Waiver request review from Regional Manager (RM) Loretta Dyson for Shared Outdoor Space and Insufficient Outdoor Space Waiver.

2. Updated LIC200A.

3. Amended STD850.

4. Final file review from Licensing Program Manager (LPM) Mai Lor

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4