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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005446
Report Date: 08/19/2021
Date Signed: 08/19/2021 02:15:39 PM

Document Has Been Signed on 08/19/2021 02:15 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HARMONY MONTESSORIFACILITY NUMBER:
214005446
ADMINISTRATOR:ANDERSON, WILANAFACILITY TYPE:
850
ADDRESS:376 GREENWOOD BEACH RD.TELEPHONE:
(415) 381-1830
CITY:TIBURONSTATE: CAZIP CODE:
94920
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/19/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Wilana AndersonTIME COMPLETED:
02:40 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
On 8/19/21 at 12:30 pm., Licensing Program Analyst (LPA), Farhan Bashir-Tariq arrived at the facility above unannounced and met with Director, Wilana Anderson (S1), for a required one-year visit. Purpose of inspection was explained. There were no children present today. Facility is closed for summer break until 8/30/21. Per director, there are 30 children enrolled in the program at present. LPA verified that the background check clearances of all teachers working with the school, is already on file. Facility operates day care from Monday to Friday between 9:00 AM to 2:30 PM. Facility doesn’t provide any food at present. However emergency food supplies were available.

LPA along with S1 inspected the facility indoors and outdoors for health and safety hazards. Classrooms were clean and orderly with plenty of toys, books and other learning materials available for children in care. Bathroom were maintained clean, in good repair, and with adequate supplies. All toilets and hand washing equipment were in working condition with proper sanitation in place. Poster for hand washing were observed to be posted in bathrooms. Per S1, there are no pools, spas or other bodies of water at the facility. Facility has multiple smoke detectors, carbon monoxide detectors, and fully charged fire extinguishers of size 2A10BC or bigger. A working telephone was also available at the site. Per S1, there are no firearms or weapons present at the facility. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. LPA observed that the play yard was available to be used by children in care. Play yard was full fenced all around.

All Posting requirements were met. License, parent’s rights poster, emergency disaster plan and all other required licensing documents were posted by facility's office door. Posters for COVID-19 symptoms, masks and other important information were observed to be posted. Masks, sanitizers and cleaning wipes were available in the facility. LPA reviewed facility records. LPA reviewed six random children's and four random staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Each child's record contains the record immunization.
Page...1 of 2
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2021
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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HARMONY MONTESSORI
FACILITY NUMBER: 214005446
VISIT DATE: 08/19/2021
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
LPA reminded the facility, As of January 1, 2018, all staff is required to complete Mandated Child Abuse Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA encouraged the facility to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates

>No deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations.

This report and rights to comment and appeal were discussed with S1. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from the date of visit. Facility was advised for any additional questions to call office, M-F, 8AM-5PM at 650-266-8800 . For Rules and Regulations, visit the Website: www.cdss.ca.gov



















Page...2 of 2
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2