<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360910804
Report Date: 03/16/2023
Date Signed: 03/16/2023 05:43:27 PM

Document Has Been Signed on 03/16/2023 05:43 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, INC.FACILITY NUMBER:
360910804
ADMINISTRATOR:KIM MONTAGUEFACILITY TYPE:
840
ADDRESS:1890 ORANGE AVENUETELEPHONE:
(909) 793-6989
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 120TOTAL ENROLLED CHILDREN: 46CENSUS: 28DATE:
03/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:11 PM
MET WITH:Head of School Jennifer Davidson and Director Kim MontagueTIME COMPLETED:
05:50 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
On 03/16/2023 at 2:11 PM, A required – 1 year inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPA) Susan Brewer, was greeted and granted entry by Head of School Jennifer Davidson and Director Kim Montague, toured the school-age center, inside and out. The following was observed: The School Age Program is located on in the C Building, Room C3-Lower Elementary and C9-Upper Elementary, Ages 6 years old through 12 years old.

Operation Days and Hours: Monday to Friday; 3:30 PM to 5:00 PM. During School Holidays and Summer Break Days and Hours are Monday through Friday 7:45 AM to 5:00 PM.

The inspection consisted of reviews of the following domains: Food Service Reporting Requirements
Physical Plant, Care and Supervision Children Records, Staff Records Staffing Ratio and Capacity
Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809-D

A review of the staff records and children's records were conducted as part of this evaluation. The licensee is asked to update the following documents and submit to licensing within 30 days on or before 04/16/2023: Only if changes have been made:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization
5. LIC 308 Designation of Administrative Responsibility
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
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 6
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: 360910804
VISIT DATE: 03/16/2023
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
The following items have been posted and are updated where necessary: License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148); Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu

· The facility is operating within the terms of the license on 03/16/2023.
· Facility is clean, safe and sanitary and in good repair on 03/16/2023.
· Ratios were met during this inspection: A census of 28 children, supervised by 5 staff.
· Appropriate supervision was provided during this inspection on 03/16/2023.
· Classrooms are equipped with age appropriate furniture and equipment in good condition.
· Classrooms are clean and free of hazards.
· Fire extinguishers are in the green, smoke alarms are hardwired and carbon monoxide devices were tested on 03/16/2023.
· All materials and surface accessible to children are toxic free.
· No weapons stored at the facility on 03/16/2023.
· There are no bodies of water present on 03/16/2023. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to children in the classroom locked cabinet, office and refrigerated in staff kitchen with is inaccessible to children in care.
· Center is equipped to isolate and care for any child who becomes ill during the day at the front reception area or director’s office.
· Hazards are stored where inaccessible to children which include: disinfectants, cleaning solutions and other items that are dangerous to children on 03/16/2023.
· All floors shall be clean and safe on 03/16/2023.
· Measures are taken to keep the facility free of flies, other insects and rodents on a monthly basis.
· Toxins are locked on 03/16/2023.
· Bathrooms were observed to be safe, sanitary and in operating condition.
· Playgrounds are enclosed by appropriate fences and free of hazards.
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition
· Food preparation area is clean and free of vermin on 03/16/2023.
· Food is stored appropriately and protected from contamination.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC809 (FAS) - (06/04)
Page: 2 of 6
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: 360910804
VISIT DATE: 03/16/2023
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
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
· Uncontaminated drinking water shall be readily available both indoors and out and is provided by pitchers of filtered water and individual cups. There are water fountains, used as well.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall wood chips, natural grass and sand.
· Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request. Only snacks are provided to children in the afterschool program.
· Sign in/Sign out record was reviewed and meets regulation requirements. The facility utilizes the School Pass Software program for Electronic Sign-in/outs. Parents have access to the phone applications to sign children in and out of daycare and report absences.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 08/2023.
· Opening and closing staff member’s CPR/First Aid expires on 08/2024
· Director completed Health and Safety Training: NOT ON FILE.
· Staff qualifications and files were reviewed – health screening is on file and all staff meet Educational requirements, however 2 of 3 staff DO NOT MEET health requirements for performing assigned tasks. LPA Susan Brewer conducted a review of staff records which revealed that 2 of Staff 5 staff present are missing verification of MMR, and 1 of 5 staff present is missing verification of Flu or letter to decline. Staff present were missing the Mandated Reporter Training Certificates.
· Staff received on the job training for house keeping, sanitation and universal health precautions
· Each child’s file is complete on 03/16/2023.
· Licensee was informed of the Department has inspection authority per Health and Safety Codes.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on Last Fire drill on 12/01/2022, at 10:00 AM, lasted 15 minutes, with 58 teachers, 350 students as a combination center.
· Documentation of Lead Testing is on file: Report dated 02/22/2023 indicates no ALE detected.
· A review of staff records on 03/13/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC809 (FAS) - (06/04)
Page: 6 of 6
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: 360910804
VISIT DATE: 03/16/2023
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
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication area and equipment/supplies, and reviewed children’s, personnel, and administrative records. No children are receiving IMS at this time. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 For FCCHs: Incidental Medical Services (IMS) policy was discussed.

Director Kim Montague and Jennifer Davidson, were reminded that all adults 18 and over working in the center, 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 licensed 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. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office.

LPA Susan Brewer, informed Jennifer Davidson, 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.



To improve the quality and value of the new inspection process, a survey will 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 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/process.

Type B Deficiency cited this visit.

Civil Penalties not issued this visit

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

Exit interview conducted and report was reviewed with the licensee Head of School Jennifer Davidson.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 03/16/2023 05:43 PM - It Cannot Be Edited


Created By: Susan Brewer On 03/16/2023 at 05:04 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: 360910804

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in the Heaf of School Jennifer Davidson, was unable to provide proof of measles and flu vaccinations for 2 of 5 staff present when requested, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/14/2023
Plan of Correction
1
2
3
4
Per Jennifer Davidson, the facility will ensure proof of required vaccinations will be provided for Staff 1 and Staff 2 identified on the confidential names list and submit to the department, by fax, mail or e-mail, on or before 04/14/2023.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2023


LIC809 (FAS) - (06/04)
Page: 4 of 6