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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005634
Report Date: 06/10/2025
Date Signed: 06/10/2025 05:01:17 PM

Document Has Been Signed on 06/10/2025 05:01 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:GUIDEPOST MONTESSORI AT SAN RAFAELFACILITY NUMBER:
214005634
ADMINISTRATOR/
DIRECTOR:		LIMA, ANAFACILITY TYPE:
850
ADDRESS:11 PROFESSIONAL CENTER PARKWAYTELEPHONE:
(628) 277-1616
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: 73TOTAL ENROLLED CHILDREN: 73CENSUS: 34DATE:
06/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Ana LimaTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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On June 10, 2025, Licensing Program Analysts (LPAs) Naves and Van conducted an unannounced annual inspection and met with the Director, Ana Lima. The purpose of the inspection was explained, and the Director granted LPAs entry to the facility. In addition to the annual inspection, LPAs also addressed an unusual incident self-reported by the Center on May 28, 2025. Five teachers and the Director supervised 34 preschool children at the time of the visit. The facility complies with the staff-to-child ratio today. The days and operating hours are Monday through Friday from 7:00 a.m. to 6:00 p.m.

All staff members present during the inspection had their criminal record clearances verified through the CDSS Guardian Background Check System and were found to have an eligible clearance status.

The unusual incident was self-reported to the Department on May 28, 2025. LPAs inspected the area where the incident occurred and interviewed the staff. Based on the available information, it was determined that a lack of care and supervision occurred on May 28, 2025. C1 was not properly handed off from one teacher to another during the transition to the outdoor area, which left C1 unattended in the hallway for approximately a minute. The error was due to the lack of communication between the two staff members. As a result, a deficiency was issued today. Following the incident, a mandatory staff meeting was conducted at the center. The agenda included Supervision, policies, and procedures, and confirmation between the two teachers during the transition handoff is now required.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 06/10/2025 05:01 PM - It Cannot Be Edited


Created By: Jaclyn Naves On 06/10/2025 at 04:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GUIDEPOST MONTESSORI AT SAN RAFAEL
FACILITY NUMBER: 214005634

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229(a)(1)
101229 Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1)No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on the reviewed records and the conducted interviews, the center did not comply with the section cited above. The staff failed to provide adequate supervision, allowing C1 to wander alone in the hallway without the staff's knowledge for approximately a minute. The child was found by the Director when C1 was heading toward the front desk, where the sign-in and out tablet was located. This situation poses a potential health and safety risk to the children in care.
POC Due Date: 06/20/2025
Plan of Correction
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Following the incident, the center’s director met with all staff members, reviewed active supervision practices, and implemented a new transition protocol. As a corrective action, the center will submit active supervision training materials, along with the sign-in attendance of the staff members who participated, to Licensing by June 20, 2025, or earlier to resolve the deficiency.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ali Zebila
NAME OF LICENSING PROGRAM MANAGER:
Jaclyn Naves
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2025


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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GUIDEPOST MONTESSORI AT SAN RAFAEL
FACILITY NUMBER: 214005634
VISIT DATE: 06/10/2025
NARRATIVE
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During today’s inspection, LPAs inspected the physical plant to identify potential health and safety hazards. The facility is well-maintained and has proper heating, lighting, and ventilation. The center utilizes a SmartCare electronic sign-in and sign-out system. The Director explained the sign-in process as follows: Upon arrival at the facility, parents will use their unique card to enter, and teachers will log in the child using the app. According to the Director, the names of parents and the sign-in & out timestamps are shown in the record.

The center operates in two classrooms. All classrooms are well-stocked with age-appropriate toys and educational materials. The furniture is sturdy and in good condition. Additionally, the facility is equipped with a centralized smoke alarm, multiple carbon monoxide detectors, and multiple fully charged fire extinguishers. All hazardous materials, including cleaning solutions and poisons, are kept out of the reach of children. Sleeping cots are appropriately stored. According to the Director, the family provides sleeping equipment such as blankets and pillows.

LPAs observed that each child has an individual cubby. All emergency equipment is secured and locked. The center currently has a child with an incidental medical service plan in place. The child's medication was reviewed, and it was noted that the medication is stored in the child's classroom in the emergency backpack, with parental consent. Additionally, the same medication is also kept in the Director’s office. LPAs reminded the Director that all medications should remain in their original packaging. First aid supplies are fully stocked and accessible for the children's use.

All children's toilets and handwashing sinks are in good working condition and have proper sanitation. There is a separate bathroom for staff use on the premises. LPAs observed no bodies of water on the premises.

Based on the outdoor square footage, the center can accommodate no more than 63 preschool children at a time. However, since the center's licensed capacity is approved for 73 preschoolers, LPAs informed the director to submit a written request for a rotational outdoor waiver. Once the Regional Manager approves the waiver, a waiver will be sent to the Center. The outdoor play area is kept clean and free of debris. It is fully fenced, neat, and in good repair. The play structure features soft cushions underneath to minimize the risk of serious injuries in case of accidental falls.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GUIDEPOST MONTESSORI AT SAN RAFAEL
FACILITY NUMBER: 214005634
VISIT DATE: 06/10/2025
NARRATIVE
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According to the Director, the Center provides children with morning and afternoon snacks, and lunch is brought from home. Children bring water bottles from home, and the center provides water for refilling them as needed, both indoors and outdoors. All storage containers for solid waste within the Center have proper, tight-fitting covers.

All the required postings were observed, including the facility License, Notification of Parent Rights, Personal Rights, Car Seat Law, Emergency Disaster Plan, waiver, and a record of Daily activities.

Random children's records and personnel records were reviewed during the inspection. The review of records revealed that the facility maintains complete records for each child, including immunization records, admission agreements, emergency contact information, and personal rights. Staff records indicate that all staff members or individuals requiring caregiver background checks have received criminal record and child abuse index clearances or exemptions. Multiple staff members hold valid CPR certifications and have up-to-date mandated reporter training.

The Director stated that the Center conducts fire and earthquake drills monthly; the last drills were conducted on May 30, 2025.

The Director was reminded that all adults 18 and over, 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE,

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GUIDEPOST MONTESSORI AT SAN RAFAEL
FACILITY NUMBER: 214005634
VISIT DATE: 06/10/2025
NARRATIVE
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During the inspection, the Director forwarded the water lead testing results to the LPAs. However, after checking the Water Board site to verify the results, they were not available or had not been posted. The LPAs informed the Director to contact the certified water tester to update the results on the Water Board website to fulfill the requirement.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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 are available at: https://www.ada.gov/resources/child-care-centers/.

The Director was informed of the MyChildCarePlan.org website; 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.

LPAs discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Site Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one-hour online course is available on the Department of Pesticide Regulation's website: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Ana Lima.

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jaclyn Naves
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC809 (FAS) - (06/04)
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