191225566-5-30-2019-30-CC-JFEA-BCSTVJ-20190603150401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191225566
Report Date: 05/30/2019
Date Signed: 05/30/2019 09:34:15 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2019 and conducted by Evaluator Denise Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20190328130142

FACILITY NAME:	MONTESSORI CHILDREN'S ACADEMIE		FACILITY NUMBER:	191225566
ADMINISTRATOR:	WAHEEDA HAMID		FACILITY TYPE:	850
ADDRESS:	2400 W. BURBANK BLVD.		TELEPHONE:	(818) 842-1812
CITY:	BURBANK	STATE: CA	ZIP CODE:	91506
CAPACITY:	82	CENSUS: 13	DATE:	05/30/2019
		UNANNOUNCED	TIME BEGAN:	07:13 AM
MET WITH:	Rima Hovsepian, Lead Teacher and Lorryn Jackson Assitant Director		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Faciltiy is operating over capacity

INVESTIGATION FINDINGS:

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On 05/30/2019 at 7:13 am, Licensing Program Analyst (LPA) Denise Miranda arrived at Montessori Montessori Children’s Academie, for the purpose of delivering the investigation findings.
At 7:13am LPA met with Rima Hovsepian, Lead Teacher, and discussed the purpose of the visit. LPA observed 2 children being supervised by three teachers. At 7:45am Lorryn Jackson, Assistant Director arrived at the facility and explained the purpose of the visit. At 745am LPA observed 13 children being supervised by four teachers. The investigation consisted of interviews with facility staff and a review of the facility's sign in and sign out sheet and the staff time sheet. Based on the information obtained throughout the course of the investigation, it was revealed that the facility was over capacity certain dates.
Based on the complaint investigation; the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANIATED. California Code of Regulations, Title 22, is being cited on the attached LIC 9099D. Parents shall be provided a copy of this report and the LIC 9224 - Acknowledgement of Receipt if Licensing Reports. Copy of LIC9224 was provided to Director Assistant. Appeal Rights were discussed and provided to the Licensee. Copy of this report was provided. Exit interview was conducted.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20190328130142

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MONTESSORI CHILDREN'S ACADEMIE	FACILITY NUMBER: 191225566
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/30/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/30/2019 Section Cited CCR 101161(a)	1 2 3 4 5 6 7	a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.This requirement is not met as evidenced by	1 2 3 4 5 6 7	Effective immediately the Director has agreed to get her capacity to 82 children or below. Licensee shall operate within capacity before the request of increase of capacity will be granted.
	8 9 10 11 12 13 14	The facility was found to be over the license capacity of 82 children as approved by the State Licensing Department in certain dates. This is a Type A deficiency which poses an immediate Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2019

LIC9099 (FAS) - (06/04)

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