Fairfield Montessori

CCR 101216.3(a) · Type B

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below This requirement has not been met as evidenced by: Based on interview at 2:00pm D1 stated that for 1 hour and 10 minutes, from 10:30am-11:40am, she and S2 had 23 children in care and were out of ratio when S1 was absent from the facility, which poses a potential health, safety or personal rights risk to persons in care.

Deficiency Dismissed

CCR101239.1(b)(5) · Type B

(b) Floor mats used for napping shall be: (5) Maintained in a safe condition with no exposed foam. This requirement has not been met as evidenced by: Based on observation, 3 out of 13 sleeping mats were observed to have foam exposed due to rips in the vinyl, which poses a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(6) · Type B

(b) Each record shall contain information including, but not limited to, the following: (6) A signed copy of the admission agreement specified in Section 101219. This requirement is not met as evidenced by: Based on record review, the director did not comply with the section cited above by LPAs reviewed that 2 children files were missing copies of their Admission Agreement which poses a potential health, safety or personal rights risk to persons in care.

CCR 101221(b)(8)(C) · Type B

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by: Based on record review, the director did not comply with the section cited above by LPAs reviewed that 2 children files were missing the signed consent form for emergency medical treatment which poses a potential health, safety or personal rights risk to persons in care.

CCR 101226(e)(5) · Type B

(5) The licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given. This requirement is not met as evidenced by: Based on observation and interview, the director did not comply with the section cited above by LPAs reviewed that incidental medical medication was stored at the facility for two children, however there were no incidental medical services plan developed for those children which poses a potential health, safety or personal rights risk to persons in care.

CCR 1596.841 · Type B

1596.41 Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request. This requirement is not met as evidenced by: Based on record review the facility roster was incomplete upon request. This poses a potential health, safety or personal right risk to persons in care.

CCR 101216(g)(1) · Type B

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in which S1 did not have a health screening, or TB test which poses/posed a potential health, safety or personal rights risk to persons in care.

HSC1596.7995(a)(1) · Type B

(a)(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: Based on record review, staff ( S1) was missing proof of immunity or vaccination against measles and pertussis. Licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

HSC 1596.8662(b)(1) · Type B

(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by: Based on record review, staff (S1) did not possess a current mandated reporter training certificate which poses a potential health, safety or personal rights risk to persons in care.

CCR101229.1(b) · Type B

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement is not met as evidenced by: Based on records reviewed there were four children who were not signed in for care by their guardians on 06/25/2025. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.

CCR 101216.3(a) · Type B

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. The following has not been met as evidenced by: Based on observations made, and interview conducted, on one or more occasions there was one staff member supervising 14-23 children alone which poses/posed a potential health, safety or personal rights risk to persons in care.

ALLEGATION(S): Staff left day care child in wet diaper for extended period of time Staff did not provide adequate supervision to day care children INVESTIGATION FINDINGS: Licensing Program Analyst (LPA) S.P. made an unannounced complaint investigation visit today and met with Licensee M.V. for the purpose of delivering findings for the above allegations. LPA, M.M. previously met with Licensee on 06/25/2025 to open the complaint. A subsequent visit was made on 07/21/2025 to further investigate the complaint. During the course of the investigation, LPA M. conducted interviews and received documents pertaining to the investigation. From 06/25/2025 through 07/30/2025, interviews were conducted with Licensee (L1), Director (D1), two staff (S1 & S2), one adult (A1), staff and adult interviews were attempted. Continued on LIC9099-C Unsubstantiated Estimated Days of Completion:

CCR 101220.1(g) · Type B

(g) The licensee shall document each child's immunizations and shall maintain such documentation in the center for as long as the child is enrolled. This requirement is not met as evidenced by: Based on record review, Of all 7 children's records reviewed, none of them had their immunizations on blue CDPH 286 form. Some had a copy of their immunizations, most did not. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.