Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540405030
Report Date: 08/05/2016
Date Signed 08/05/2016 04:44:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:GREENHOUSE MONTESSORI SCHOOLFACILITY NUMBER:
540405030
ADMINISTRATOR:HOFFMAN, ANNEFACILITY TYPE:
850
ADDRESS:4143 S. DANS LANETELEPHONE:
(559) 625-8385
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:82CENSUS: 42DATE:
08/05/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Nina ClancyTIME COMPLETED:
05:00 PM
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An unannounced Annual Random visit was conducted this date by Licensing Program Analyst Norma Lomeli. LPA met with Nina Clansy and toured the facility inside/outside and census taken. Three preschool classrooms are operating this summer.

The following was observed and/or discussed:
  • This facility operates a full or half day program. Hours are Monday through Friday from 7:30AM to 5:30PM.
  • Staffing and ratio is maintained at all times
  • Licensee does not exceed the conditions, limitations, and capacity specified on the license.
  • Director understands that all children present are supervised at all times by staff, including visual supervision.
  • Classrooms floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Materials and surfaces accessible to children are toxic free.
  • Uncontaminated drinking water is available both inside/outside of the facility.
  • Bathrooms have four toilets and two sinks. Toilets and sinks are safe sinks and in good operating condition.
  • All disinfectants, cleaning solutions, toxic, poisonous items, and medications are inaccessible to children.
  • Children bring a snack lunch. AM and PM snack are provided and meals. No meals are prepared on site.
(Continued on LIC809-C):
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-8103
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)243 -8416
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2016
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, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME: GREENHOUSE MONTESSORI SCHOOL
FACILITY NUMBER: 540405030
VISIT DATE: 08/05/2016
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  • Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in safe condition and free of hazards. Areas under/around high climbing equipment, swings, and slides have sufficient cushioning material to absorb falls.
  • At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities.
  • All individuals subject to a criminal record review have a clearance or exemption and are associated to the facility. Staff records contain appropriate documentation of education credits.
  • The person who signs the child in/out uses their full legal signature and records the time of day. The child is signed in and out by the person responsible for the child. Child's admission agreement is available for review.
  • There are no firearms, weapons, or bodies of water on the premises.
  • The licensee shall comply with the notice to remove/bar any person with specified convictions or for other reasons.
  • Nine staff files and ten children’s files were reviewed during today’s visit.
  • Incidental Medical Services was discussed with Director, Nina Clancy.
In the areas that were evaluated no deficiencies were observed at the time of the visit.

In exit interview the LPA observed Director post the Notice of Site Visit for 30 days in a viewable area by parents and retain evaluation report for 3 years for public review.

A COPY OF THIS REPORT MUST REMAIN IN THE FACILITY FOR PUBLIC REVIEW FOR THREE YEARS.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-8103
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)243 -8416
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2016
LIC809 (FAS) - (06/04)
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