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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093616872
Report Date: 08/20/2024
Date Signed: 08/20/2024 11:36:44 AM

Document Has Been Signed on 08/20/2024 11:36 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MADRONE MONTESSORI SCHOOL, LLCFACILITY NUMBER:
093616872
ADMINISTRATOR/
DIRECTOR:		CAMPBELL, KRISTAFACILITY TYPE:
850
ADDRESS:5001 WINDPLAY DRIVE #1TELEPHONE:
(530) 676-4110
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY: 74TOTAL ENROLLED CHILDREN: 74CENSUS: 50DATE:
08/20/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Krista CampbellTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On August 20, 2024, Licensing Program Analyst (LPA) Soleil Marx, met with Facility Representative, Krista Campbell, for the purpose of conducting an unannounced plan of correction inspection. The purpose of today's inspection was explained.

The facility received a type A citation on 08/14/2024 under CCR 101216.4(a)(2), for being out of compliance with toddler component requirements.

During today's inspection, LPA observed a census of 44 preschool age children being supervised by seven staff, and 6 toddlers being supervised by one staff in the toddler component.

LPA verified during today's inspection that toddler component was physically separate from the preschool. As of today 08/20/2024, LPA determined the facility is in compliance with toddler component regulations and LPA has cleared the previously cited deficiency. LPA provided Facility Representative with a letter of deficiency citation cleared.

Report was reviewed with Facility Representative, Krista Campbell and exit interview was conducted. A notice of site visit was provided and must remain posted for 30 days.

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Soleil Marx
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2024
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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