214005634-6-9-2023-05-CC-MROZ-CSN2BF-20230609171503

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005634
Report Date: 06/09/2023
Date Signed: 06/09/2023 05:15:14 PM

Document Has Been Signed on 06/09/2023 05:15 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	GUIDEPOST MONTESSORI AT SAN RAFAEL		FACILITY NUMBER:	214005634
ADMINISTRATOR:	HENNIGAN, ERIN		FACILITY TYPE:	850
ADDRESS:	11 PROFESSIONAL CENTER PARKWAY		TELEPHONE:	(628) 277-1616
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/09/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Jessica Hobbs, Ana Lima, and Kayla Hackett		TIME COMPLETED:	05:30 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	Licensing Program Analyst (LPA) Marie Rodriguez conducted a scheduled pre-licensing inspection and met with Director of Compliance Jessica Hobbs and Site Director Ana Lima. Regional Manager Kayla Hackett arrived a short time later. Applicant has applied for a combination center with a preschool program and an infant program with a toddler option under application #214005635. Applicant is requesting a capacity of 72 preschool aged children. Hours of operation will be Monday to Friday from 7:00am to 6:00pm. Designated site director will be Ana Lima. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity. Indoor: Total useable indoor square footage for the preschool program (also known as the Children's House) is 2,566.32 sq ft divided by 35 sq ft equals 73 children. Total allowable capacity for toilets is 90 and sinks is 135. Preschool program will be in Rooms 3, 5, and 6. Each classroom is observed today to be clean, safe, and in good repair. All furniture, toys, and equipment are observed to be age appropriate and in good condition. There is storage space for children's personal belongings and cots to be utilized for napping children. Children will bring a blanket and sheet from home. Bedding will be sent home at the end of each week to be laundered. There is a fire alarm and sprinkler system throughout the facility. Classrooms are equipped with a fire extinguisher and a smoke and carbon monoxide detector. Garbage cans have tight-fitting lids. First aid kit and emergency supplies are in each classroom and are inaccessible to children. The facility is adequately ventilated and free of insects and bugs. Drinking water is available for children indoors and outdoors. All toxins and other hazardous items will be stored inaccessible to children in each classroom . Isolation of ill children will be in the office and the staff bathroom will be used for an ill child. Each classroom has a bathroom with two toilets and one sink. There is also two other sinks in the classroom available for children's use. Bathrooms are observed to be clean and with no health and safety hazards. All sinks accessible to children deliver water that is no warmer than 120 degrees. There is a separate bathroom for staff usage on the premises.There is a separate bathroom for staff usage on the premises.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GUIDEPOST MONTESSORI AT SAN RAFAEL	FACILITY NUMBER: 214005634
	VISIT DATE: 06/09/2023

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

Facility will provide morning and afternoon snacks. Children will bring their own lunch. A snack menu will be posted for the month by the front entrance. Medications will be stored in a locked box in the Site Director's office. There is a designated area in each classroom where food is prepared and a working refrigerator is in the kitchen. Refrigerated medications will be stored separately from food. Medication will be administered with parental consent and will be kept in the child’s file for record. All medication will be logged when administered to children. Required postings were observed during today's inspection.

Outdoor: Total useable outdoor square footage measures 4,791.56 sq ft. divided by 75 sq ft allowing a total of 63 children. The outdoor area is enclosed by a fence at least four feet tall and is observed to be clean, safe, and equipped with age appropriate toys and equipment for children. The outdoor play area is accessible through Rooms 5 and 6. Preschool Room 3 is able to access the outdoor play area through a separate door. Facility will have a rotational schedule for the outdoor play area once it reaches 63 or above preschool children. Teachers will bring out a pitcher of water and disposable cups while outside. Shade for children will be provided by built in umbrellas and the building.

LPA will approve the licensure of this facility with a total capacity of 73 children once fire clearance has been received from San Rafael fire inspector. Fire inspector will conduct a follow up fire clearance inspection on Monday, June 12, 2023 at 9:00 am.

Facility representative was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com. If training is not available in native language, a statement can be written stating exemption until the translation is available.

Facility representative 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, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GUIDEPOST MONTESSORI AT SAN RAFAEL	FACILITY NUMBER: 214005634
	VISIT DATE: 06/09/2023

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 discussed the safe sleep regulations with facility representative 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 facility representative 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.

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)/ (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 reviewed with facility representative the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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 facility representative Jessica Hobbs and Ana Lima.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3