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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191201813
Report Date: 03/10/2021
Date Signed: 03/10/2021 03:42:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GLENDALE MONTESSORI SCHOOLFACILITY NUMBER:
191201813
ADMINISTRATOR:UIRECHT, AFACILITY TYPE:
850
ADDRESS:413 WEST DORANTELEPHONE:
(818) 240-9415
CITY:GLENDALESTATE: CAZIP CODE:
91203
CAPACITY:73CENSUS: 0DATE:
03/10/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Andrea VenturaTIME COMPLETED:
03:50 PM
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This was an announced case management inspection conducted by Licensing Program Analyst (LPA) Crystal Green. Due to COVID- 19 precautionary measures were taken, individuals present during inspection wore appropriate personal protective equipment. Licensing staff met with Director, Andrea Ventura, who guided analyst on a tour of the facility.

The purpose of this inspection is to inspect the facility for any changes due to the change in board members of the Incorporation. Per Director, no physical changes have been made to the facility. LPA obtained an updated copy of the Articles of Incorporation with Secretary of State Seal and Administrative Organization (LIC 309). LPA reviewed facility file, licensee has operated under Glendale/ Burbank Montessori School Inc. since August of 1977. Upon return to Monterey Park Regional Office, LPA will update the licensee information to reflect Glendale/ Burbank Montessori School Inc.

There were no deficiencies observed on this date. An exit interview was conducted with Director Andrea Ventura. A copy of this report and appeal rights were distributed and explained.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2021
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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