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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360910803
Report Date: 01/06/2023
Date Signed: 01/06/2023 04:27:39 PM

Document Has Been Signed on 01/06/2023 04:27 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MONTESSORI IN REDLANDS, INCFACILITY NUMBER:
360910803
ADMINISTRATOR:KIM MONTAGUEFACILITY TYPE:
850
ADDRESS:1890 ORANGE AVENUETELEPHONE:
(909) 793-6989
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 175TOTAL ENROLLED CHILDREN: 153CENSUS: 24DATE:
01/06/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Director Kim Montague and CFO Lisa OliverTIME COMPLETED:
04:30 PM
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Due to required lead testing requirements, Licensing Program Analysts (LPAs), Susan Brewer and Rachel Zeron conducted a Case Management inspection based on lead testing results received on the facility. LPA Brewer toured the facility, took census and met with Licensee/Director, Kim Montague and Lisa Oliver Chief Financial Officer (CFO) to further discuss lead results received and measures taken for remediation of lead exceedances. A census was taken of 24 children present during the time of the inspection.

During the inspection, LPAs toured and obtained photos of the following water outlets identified with lead exceedances: HH, Kitchen Sink, tested at 20.00 ppb, located in Bldg. B, and Outlet X, Drinking Fountain which is located in the East Playground which tested at 6.00 ppb. LPAs observed and obtained photos of required signage posted at outlets for cessation of use.

Facility implemented the following plan of action until formal remediation can be completed on water outlets: Outlet HH has been labeled for handwashing only, has been replaced and is waiting to be retested. Outlet X, is a drinking fountain is located outside on the preschool playground, which has been removed and capped off. Director indicated that the drinking fountain has not be used since prior to COVID 19. LPAs observed notification of lead results posted at the facility: The results are posted at the front door of the facility.

Photos also obtained of additional source for access to water: Facility has access to additional water resources: Teachers for the preschool program are using the sink in the classrooms to fill children’s personal water bottle for indoor/outdoor use.

Due to facility water outlets testing above approved lead levels, a deficiency has been cited. See LIC809D.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2023
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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI IN REDLANDS, INC
FACILITY NUMBER: 360910803
VISIT DATE: 01/06/2023
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Additionally, the following resources were discussed and provided from PIN 21-21-CCP dated July 28, 2021:

101700.6 Grant Funding for Qualifying Child care Centers

(a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria:

(1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age.

(2) Those that have 50 percent or more of their registered children who receive subsidized care.

(3) Those that operate only one facility.

(b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website.

(1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website

An exit interview was conducted, and appeal rights discussed. LPAs provided Lisa Oliver, CFO, Chief Financial Officer with a copy of this report, appeal rights and notice of site visit.

This report must be made available to the public upon request for three years.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/06/2023 04:27 PM - It Cannot Be Edited


Created By: Susan Brewer On 01/06/2023 at 04:02 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MONTESSORI IN REDLANDS, INC
FACILITY NUMBER: 360910803

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2023
Section Cited
CCR
101700.3(b)(1)

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California Lead Action Level at Child Care Centers A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance.

This requirement is not met as evidence by:
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Facility will implement corrective action pursuant to section CCR 101704 for immediate cessation of outlets testing with action level exceedance until it is replaced and retested pursuant to section CCR 101705 and returns a result at or below the Acton level.

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Based on records review of required lead testing, the facility had lead values of 5.5 or above on water outlets : HH (tested at 20 ppbs) and X ( tested at 6 ppbs) This is a potential health and safety risk to persons in care.

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Facility will notify CDSS with completion within 30 days.

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Susan Brewer
LICENSING EVALUATOR SIGNATURE:
DATE: 01/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2023


LIC809 (FAS) - (06/04)
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