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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 093626173
Report Date: 01/24/2025
Date Signed: 01/24/2025 03:13:29 PM

Document Has Been Signed on 01/24/2025 03:13 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:BERGAMO MONTESSORI AT SERRANOFACILITY NUMBER:
093626173
ADMINISTRATOR/
DIRECTOR:
MARKING, HILARYFACILITY TYPE:
860
ADDRESS:4521 SERRANO PARKWAYTELEPHONE:
(916) 358-3835
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY: 117TOTAL ENROLLED CHILDREN: 117CENSUS: 95DATE:
01/24/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Hilary MarkingTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes and Licensing Program Analyst (LPA) Soleil Marx met with Director Hilary Marking for the purpose of a pre-licensing change of ownership inspection. Applicant requests an infant component for 9 infants ages 3-24 months, a toddler component for 36 toddlers ages 18-36 months, and a preschool component for 72 preschool children ages two years to entry into first grade. The program will operate Monday through Friday from 7:00 a.m. to 6:00 p.m. The fire clearance was granted and received on 12/9/2024. The facility will be providing morning and afternoon snacks. Parents will provide formula, breast milk, and baby food for their children.

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. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

INDOOR ACTIVITY SPACE:
There is one infant classroom located in the Nido Room, two toddler classrooms located in the Bambino Room and Piccolo Room, and two preschool classrooms located in the Casa Due Room and Casa Uno Room.

Report continues on LIC809-C page 2.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BERGAMO MONTESSORI AT SERRANO
FACILITY NUMBER: 093626173
VISIT DATE: 01/24/2025
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Page 2.

LPA observed a sufficient amount of equipment, toys, tables, chairs, high chairs, cubbies, and napping cots. LPA observed nine montessori bed boxes located in the crib area which is separated from the activity space using a four foot tall plexiglass wall partition. Applicant has requested a Montessori Bed Box Waiver. There is a first aid kit in each of the classrooms. Medications will be stored in each classroom in the medicine cabinets. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Director stated there are no poisons or firearms on the premises. LPA observed water fountains in the classrooms and water bottles for the children. LPA observed a functional carbon monoxide detector in each classroom. LPA observed an electronic sign-in/sign-out system.

LPA measured the infant classroom. The total classroom space contains a total of 319 square feet, which will accommodate Applicant's request for 9 infants. LPA observed two sinks within arm's reach of a diaper changing table. LPA also observed two toilets which are not in use. LPA measured the toddler classrooms. The total classroom space contains a total of 1,794 square feet, which will accommodate Applicant’s request for 36 toddlers. There are four toilets and six sinks for the toddlers. LPA measured the preschool classrooms. The total classroom spaces contain a total of 2,677 square feet, which will accommodate Applicant’s request for 72 preschool children. There are four toilets and four sinks for the preschool children. LPA observed a separate private restroom for the staff located in the hallway. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There are four outdoor areas on the property, Infant Yard, Toddler Yard #1 and Toddler Yard #2, and Preschool Yard. The outdoor play area is fenced with a wrought iron fence that is at least four feet tall and separates the infant yard from the toddler yard and the toddler yard from the preschool yard. LPA did not observe any play structure. LPA observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees, canopies, and overhangs.

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

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BERGAMO MONTESSORI AT SERRANO
FACILITY NUMBER: 093626173
VISIT DATE: 01/24/2025
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LPA measured the infant outdoor activity space. The outdoor play area contains a total of 1,147 square feet, which will accommodate Applicant's request for 9 infants. LPA measured the toddler outdoor activity spaces. The outdoor play areas contain a total of 1,668 square feet, which will only accommodate 22 toddlers. Applicant has requested an Insufficient & Shared Outdoor Space Waiver for the toddlers to utilize the preschool yard. LPA measured the preschool outdoor activity space. The outdoor play area contains a total of 9,109 square feet, which will accommodate Applicant’s request for 72 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

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; 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.

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

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: BERGAMO MONTESSORI AT SERRANO
FACILITY NUMBER: 093626173
VISIT DATE: 01/24/2025
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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.

Written Directives for Lead Testing in Child Care Centers: Assembly Bill 2370, Chapter 676, Statutes of 2018, added Health and Safety Code section 1597.16 requiring all licensed Child Care Centers constructed before January 1, 2010, test their water for lead between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first lead testing. For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

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 the Director, Hilary Marking.

The following items are required before a license will be issued:

1. Pending review of Montessori Bed Box Waiver request.
2. Pending review of the Insufficient & Shared Outdoor Space Waiver for the toddlers and preschool.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC809 (FAS) - (06/04)
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