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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 344500189
Report Date: 05/17/2023
Date Signed: 05/17/2023 04:13:22 PM

Document Has Been Signed on 05/17/2023 04:13 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 SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:ART OF MONTESSORIFACILITY NUMBER:
344500189
ADMINISTRATOR:MENDOZA, CHRISTINEFACILITY TYPE:
850
ADDRESS:8930 SIERRA STREETTELEPHONE:
(916) 686-5800
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY: 83TOTAL ENROLLED CHILDREN: 83CENSUS: 76DATE:
05/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Christine MendozaTIME COMPLETED:
04:30 PM
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Licensing Program Analyst Katy Maestas (LPA) conducted a field visit to the facility for the purpose of an unannounced annual inspection. LPA disclosed the purpose of the inspection and was granted entrance into the facility. LPA met with the Director Christine Mendoza (D1). LPA toured the facility inside and outside. LPA observed 76 toddler and preschool aged children being supervised by 8 staff members and 1 volunteer. LPA accessed Guardian to verify that all required adults were background cleared. LPA observed that hazardous items (disinfectants, cleaning solutions etc.) were inaccessible to children in care. Facility's days and hours of operation are Monday-Friday from 7:00 AM to 6:00 PM. The facility provides 3 meals and 2 snacks daily which the facility plans and provides. The facility does allow outside food, if children prefer.

LPA conducted a file review prior to inspection and verified that the annual fees were current. LPA noted that water testing for lead exposure was conducted at the time of the facility's pre-licensing in 2020. Water testing is not due to be tested again until 2025. While on location at the facility, LPA reviewed care and supervision of children, staffing ratios, medications, first aid supplies, furniture, equipment, fire drills, and drinking water. LPA observed that all required forms to be posted were posted by the main entrance of the facility. LPA observed adequate toys and equipment available for children. LPA toured the outdoor play area, and the play structure for ages 2-5 years old appeared to be in good repair and cushioned by wood chips. LPA observed a sufficient amount of cushioning under the play structure to prevent injury.

LPA reviewed the sign in/out documents on the Brightwheel. LPA reviewed children’s and staff files. LPA observed Health Screening Reports with TB test and required MMR and TDAP vaccines for some staff members. At least one staff member present today had current Pediatric CPR and First Aid (exp. 01/2024). LPA observed that staff do not have current Mandated Reporter training. D1 was reminded to renew the course every 2 years for all staff members. This training requirement may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/. The training is currently provided in English and Spanish. Report continues on 809-C
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Nola Maestas
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: ART OF MONTESSORI
FACILITY NUMBER: 344500189
VISIT DATE: 05/17/2023
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The facility does not currently have an Incidental Medical Services (IMS) policy on file with the Department; however, IMS was discussed with D1. LPA encouraged D1 to complete and submit an IMS plan for at least epi-pen and inhaled medication use. For IMS information, see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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.

D1 was reminded that all adults 18 and over, 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.

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. To receive licensed related information, 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.

If you have any questions regarding the process or tools, please send them by email 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.

In the areas that were evaluated today on 05/17/2023, one Type B deficiency was cited for incomplete staff files. Additionally, three Technical Violations were issued as a reminder for Mandated Reporter training to be conducted, Safe Sleep logs to be kept every 15 minutes (for toddlers under 24 months), and children's files to be complete including Health Screenings. LPA conducted an Exit Interview with D1 and the report was reviewed. A Notice of Site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Nola Maestas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
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Document Has Been Signed on 05/17/2023 04:13 PM - It Cannot Be Edited


Created By: Nola Maestas On 05/17/2023 at 03:43 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
, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: ART OF MONTESSORI

FACILITY NUMBER: 344500189

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/17/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observing incomplete staff files and therfore, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/24/2023
Plan of Correction
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D1 will personally review and update all emplyee files by 05/24/2023.
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.
SUPERVISOR'S NAME:Jeanne Smith
LICENSING EVALUATOR NAME:Nola Maestas
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023


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