CLAIRE'S MONTESSORI INTERNATIONAL ACADEMY

Type B citation - potential risk if not corrected

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.

Based on record review, one water outlet tested exceeded the allowed 5.5 ppb, which poses a potential health, safety or personal rights risk to persons in care.

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Jessica Gardner, to conduct an unannounced case management inspection of this preschool facility regarding lead testing. The purpose of today's inspection was to document a plan of correction following reports of lead exceedance in one of the facility outlets. On 01/30/2025, the facility tested water samples for lead. Lead testing identified one water outlet that has a Lead Exceedance over the amount of 5.5 parts per billion (ppb). The water outlet designated as outlet F has an exceedance of 5.9 ppb. Facility Representative stated the water outlet with lead exceedance was covered and placed out of order and will not be used until or unless the outlet has been retested and determined to be under the threshold of 5.5 ppb after three weeks of flushing. Facility provides filtered water to children while outside and inside the classroom. A deficiency is cited on the subsequent page of the report and is considered a potential threat to the health and safety of children in care. An exit interview was conducted with Facility Representative, who was also provided with Appeal Rights and a Notice of Site Visit that must be posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Natalie Dunaway NAME OF LICENSING PROGRAM ANALYST: Jennifer Velasco LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2025 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 3 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity. PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing R

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Jennifer Velasco met with Facility Representative, Director Jessica Gardner, to conduct an unannounced case management inspection of this preschool facility regarding lead testing. The purpose of today's inspection was to document a plan of correction following reports of lead exceedance in one of the facility outlets. On 01/30/2025, the facility tested water samples for lead. Lead testing identified one water outlet that has a Lead Exceedance over the amount of 5.5 parts per billion (ppb). The water outlet designated as outlet F has an exceedance of 5.9 ppb. Facility Representative stated the water outlet with lead exceedance was covered and placed out of order and will not be used until or unless the outlet has been retested and determined to be under the threshold of 5.5 ppb after three weeks of flushing. Facility provides filtered water to children while outside and inside the classroom. A deficiency is cited on the subsequent page of the report and is considered a potential threat to the health and safety of children in care. An exit interview was conducted with Facility Representative, who was also provided with Appeal Rights and a Notice of Site Visit that must be posted for 30 days. NAME OF LICENSING PROGRAM MANAGER: Natalie Dunaway NAME OF LICENSING PROGRAM ANALYST: Jennifer Velasco LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2025 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 3 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity. PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing R