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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216645
Report Date: 09/13/2023
Date Signed: 09/13/2023 02:17:16 PM

Document Has Been Signed on 09/13/2023 02:17 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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:MANZANITA MONTESSORI SCHOOL LLCFACILITY NUMBER:
566216645
ADMINISTRATOR:KATHRYN JUNIPER DWIGHTFACILITY TYPE:
850
ADDRESS:409 TOPA TOPA DRIVETELEPHONE:
(805) 637-7506
CITY:OJAISTATE: CAZIP CODE:
93023
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 0DATE:
09/13/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Juniper DwightTIME COMPLETED:
02:31 PM
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On September 12, 2023 Licensing Program Analyst (LPA) Susana Martinez conducted an announced pre-licensing inspection. LPA met with owner Juniper Dwight and advised her of the purpose for the inspection. Director Lisa Schaeffer and Christina were also on site. Together with the owner, LPA toured the facility inside and outside. At the time of inspection there were 0 children present. No bodies of water were present at the time of inspection. Owner denies having guns or ammunition on site.

The center plans on operating Mon-Fri 8:30 am- 2:30 PM. Lunches and snacks will be brought from home, but the center will keep emergency food on site. No kitchen was observed to be on site. LPA observed water gallons inside and outside of the facility. Owner states the center plans on using an outside vendor to provide drinking water. LPA did not observe drinking fountains on site.

The facility will be occupying 1 room for child care which was observed to be clean and in good repair. LPA observed sufficient age-appropriate toys and learning material throughout the facility. No hazards/toxins were observed to be accessible to the children in care. LPA observed first aid kits on site, one is located inside the classroom and another one is located in the office. The facility has a total of 2 children's stalls and 3 sinks.

The center plans on storing children's medication in the office located in a top cabinet. LPA reminded owner that medication needs to come in it's original packaging, come with instructions, and needs to be checked periodically for the expiration date. Cleaning supplies were observed to be stored in the office. The facility will also be using the outside space directly outside the classroom as well as an outdoor space to the side of the classroom. The outdoor play yards are fully fenced and were observed to have sufficient shade and age-appropriate play structures.

A fire clearance was granted by the Ventura County Fire Department on 08/24/2023. The fire department notes that the center is cleared for 22 preschool children and no infants/toddlers.

Continued on 809-C

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023
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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MANZANITA MONTESSORI SCHOOL LLC
FACILITY NUMBER: 566216645
VISIT DATE: 09/13/2023
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LPA provided and reviewed with Site Supervisor the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. LPA discussed information capacity, and ratios. LPA provided owner a pictorial handout regarding preschool ratios. Site Supervisor was made aware that it is the facility's responsibility to know the current regulations for a CCC which can be accessed on-line at www.cdss.ca.gov.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Administrator 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, 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.

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 platforms.


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.

The center meets Title 22 Division 12 requirements. License will be effective today, 09/13/2023 for total capacity of 22 children.



A notice of site visit was given to administrator and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview was conducted and report was reviewed with the owner Juniper Dwight.

SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023
LIC809 (FAS) - (06/04)
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