GARDEN MONTESSORI SCHOOL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 9/7/22 at 2:00 pm Licensing Program Analysts (LPAs) Monica Mathur and Michelle Sutton conducted an unannounced Annual Inspection at Garden Montessori School. LPA met with Licensee, Jaye Perry and explained the purpose of today's inspection. Facility's operating days and hours are Monday to Friday from 9am-1:30pm. No children were present during inspection as facility was closed for the day. The physical plant was inspected. LPA toured the premises with the Licensee. Indoor space: Classrooms, restrooms were inspected. Disinfectants, cleaning solutions, and other items dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Foods and beverages were stored safely. Trash cans for solid waste had tight-fitting covers on and were in good repair. LPA observed a working Fire extinguisher, Smoke and Carbon Monoxide Detectors. Facility does not provide transportation for children. Required postings were observed to be posted. Outdoor space was inspected and observed to be fenced and safe. The play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. Shade is provided and there were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities. File Review: Staff files was taken for review. All files contained required documents. There was at least one teacher with current certification in Pediatric CPR/First Aid present at the facility during inspection. Child files were not reviewed because there were no children present. Staff interview was not conducted because Director was not present and Licensee states she does not provide direct care/supervision to children. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022 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 2 FACILITY NAME: GARDEN MONTESSORI SCHOOLFACILITY NUMBER: 070211452 VISIT DATE: 09/07/2022 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 32This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 Licensee 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. 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. In the areas that were evaluated, no regulatory violations were observed. Exit interview conducted and report was reviewed with the Licensee, Jaye Perry. A NOTICE OF SITE VISIT was given and must remain posted for 30 days. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 9/7/22 at 2:00 pm Licensing Program Analysts (LPAs) Monica Mathur and Michelle Sutton conducted an unannounced Annual Inspection at Garden Montessori School. LPA met with Licensee, Jaye Perry and explained the purpose of today's inspection. Facility's operating days and hours are Monday to Friday from 9am-1:30pm. No children were present during inspection as facility was closed for the day. The physical plant was inspected. LPA toured the premises with the Licensee. Indoor space: Classrooms, restrooms were inspected. Disinfectants, cleaning solutions, and other items dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Foods and beverages were stored safely. Trash cans for solid waste had tight-fitting covers on and were in good repair. LPA observed a working Fire extinguisher, Smoke and Carbon Monoxide Detectors. Facility does not provide transportation for children. Required postings were observed to be posted. Outdoor space was inspected and observed to be fenced and safe. The play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. Shade is provided and there were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities. File Review: Staff files was taken for review. All files contained required documents. There was at least one teacher with current certification in Pediatric CPR/First Aid present at the facility during inspection. Child files were not reviewed because there were no children present. Staff interview was not conducted because Director was not present and Licensee states she does not provide direct care/supervision to children. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022 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 2 FACILITY NAME: GARDEN MONTESSORI SCHOOLFACILITY NUMBER: 070211452 VISIT DATE: 09/07/2022 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 32This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 Licensee 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. 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. In the areas that were evaluated, no regulatory violations were observed. Exit interview conducted and report was reviewed with the Licensee, Jaye Perry. A NOTICE OF SITE VISIT was given and must remain posted for 30 days. SUPERVISORS NAME: Sherelle Johnson LICENSING EVALUATOR NAME: Monica Mathur LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022

Type B citation - potential risk if not corrected