191803368-3-16-2022-33-CC-TRAO-CCKLKC-20220316084918

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191803368
Report Date: 03/11/2022
Date Signed: 03/16/2022 08:49:37 AM

Document Has Been Signed on 03/16/2022 08:49 AM - It Cannot Be Edited

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:	EAGLE ROCK MONTESSORI SCHOOL #1		FACILITY NUMBER:	191803368
ADMINISTRATOR:	DE LARA, UTE		FACILITY TYPE:	850
ADDRESS:	1439 COLORADO BLVD.		TELEPHONE:	(323) 254-3027
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90041
CAPACITY:	74	CENSUS: 50	DATE:	03/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:47 PM
MET WITH:	Kim Marikit De Lara, Facility Representative		TIME COMPLETED:	04:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Thelma Razo conducted an unannounced Required - 1 year inspection on 3/11/2022 at 12:47PM. LPA met with facility representative Kim Marikit De Lara and was later joined by Director Ute De Lara. LPA stated the purpose of the visit. A COVID-19 risk assessment was made prior to entry to the facility. LPA provided staff with a copy of the LIC 125 Entrance Checklist to facilitate the inspection. This is a preschool program which consists of three pods/classrooms. Business hours are from Monday to Friday, 8:00 AM to 4:00 PM. LPA was guided to a facility tour by Ms. Marikit at 12:40PM. All areas identified on the Facility Sketch were inspected. The following staff were present during this inspection: Pod 1 - 2 staff with 15 preschool children (1 in nap room) Pod 2 - 2 staff with 12 preschool children (4 in nap room) Pod 3 - 2 staff with 13 preschool children (5 in nap room) Nap room - 2 staff with 10 children The facility was observed to be within the license capacity and limitations. Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. The following were observed during the tour of the facility: Furniture and equipment were inspected for age appropriateness and good repair, telephone service, central air and heating, lighting and ventilation were evaluated. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic free. Per staff, there were no firearms stored on the premises and no pools or bodies of water. Children have their own cubby to store their belongings. Children bring their own blankets and sheets and have them sent home on Fridays. Per Director, the isolation area is in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in the classroom. First Aid supplies were observed in the classroom. Page 1 of 3

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: EAGLE ROCK MONTESSORI SCHOOL #1	FACILITY NUMBER: 191803368
	VISIT DATE: 03/11/2022

NARRATIVE

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Disinfectants, cleaning solutions, and other items that are dangerous to children were inaccessible. Director states that there are no poisons stored at the facility. Carbon monoxide detectors were tested and were operable. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin.

All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Facility provides morning and afternoon snacks. Menu was observed to be posted one week in advance.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. The outdoor surface is cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. LPA advised that no children shall be left without the supervision of a teacher at any time.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The review of Staff records was documented on the LIC 859. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present have proof against TB, measles, pertussis, and influenza. All staff have been given on-the-job training on sanitation principles, housekeeping, including universal health precautions.

According to Director, there are currently no children on medication. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: EAGLE ROCK MONTESSORI SCHOOL #1	FACILITY NUMBER: 191803368
	VISIT DATE: 03/11/2022

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Kim Marikit De Lara.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

LIC809 (FAS) - (06/04)

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