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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005505
Report Date: 09/21/2021
Date Signed: 09/21/2021 12:17:23 PM

Document Has Been Signed on 09/21/2021 12:17 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:GUIDEPOST MONTESSORI AT MILL VALLEY (INF)FACILITY NUMBER:
214005505
ADMINISTRATOR:HENNIGAN, ERINFACILITY TYPE:
830
ADDRESS:270 MILLER AVETELEPHONE:
(949) 354-2259
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 21TOTAL ENROLLED CHILDREN: 0CENSUS: 13DATE:
09/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director, Isla MillerTIME COMPLETED:
12:25 PM
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On September 21st, 2021 at 10 am Licensing Program Analyst (LPA) Kassandra Medrano conducted a random annual licensing inspection today. Facility is licensed as a combination center which includes: infant and toddler programs. Days and hours of operation: Monday- Friday, 7:30am-6pm. Analyst toured the facility building and grounds, conducted an evaluation of the physical plant, and reviewed children, staff and facility records. A review of staff records during today’s visit indicates that all staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility has a fully charged fire extinguisher that meets the minimum requirements, smoke detector, and a carbon monoxide detector in the facility. Facility is adequately furnished with age appropriate toys, furniture, cribs, changing tables, and equipment. Separate staff bathrooms are available. Outdoor play area inspected for health and safety hazards; areas around and under climbing equipment is cushioned with soft rubber. If breast milk is provided by parents, it is stored appropriately in the refrigerator in an individualized bag and each bottle is labeled. Facility does not provide formula and diapers for the children. No pools, spas, hot tubs, fish ponds or similar bodies of water are present. Disinfectants, cleaning solutions, poisons, and toxins are inaccessible to children. Per staff, there are no firearms or weapons on site. Adequate first aid supplies are available. Facility has posted all the required licensing forms in a prominent accessible location. LPA reviewed staff and children's files. In the files that were reviewed, all children had a medical assessment and Infant Needs and Services Plan, and Infant Care feeding plan. In the staff files, all had criminal record clearance, personnel record, and a health screening with TB test.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2021
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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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: GUIDEPOST MONTESSORI AT MILL VALLEY (INF)
FACILITY NUMBER: 214005505
VISIT DATE: 09/21/2021
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Staff have current Pediatric First Aid and CPR certification. Staff have the required immunization's and verification of the mandated child abuse reporting training as compliant with AB 1207. The following items were reviewed as part of today's visit: Care and Supervision of the Children, Child Discipline Procedures, Emergency Evacuation Procedures, Medication Policies, Isolation of Sick Children, Napping Requirements, Food Service, Cleaning and sanitation practices of linens, toys and equipment used In the infant center, Transportation, Parents Rights, and Reporting Requirements. Posting requirements for site visits were also discussed as well as AB 633 requirements. Facility informed that effective September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed with director the Mandated Child Abuse Reporting training as compliant with AB 1207. As of January 1, 2018, all child care staff and volunteers are required to complete Mandated Child Abuse Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com . Director was advised of the annual required pesticides training. For More information about changes to the Healthy Schools Act, templates, articles, and required training you can inspect the DPR website at: https://apps.cdpr.ca.gov/schoolipm/childcare/training/main.cfmLicensee was advised of the upcoming changes to regulations regarding ‘Safe Sleep” and provided with handouts regarding “safe to sleep “best practices. Current forms and Title 22 Regulations can be obtained through the internet at www.ccld.ca.gov This facility provides IMS. A review of storage of medications, equipment and supplies, and reviewed children, personnel and administrative records.

This report is reviewed with staff and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
LIC809 (FAS) - (06/04)
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