197417032-3-6-2020-30-CC-MSIN-BMFMMT-20200306084430

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417032
Report Date: 03/03/2020
Date Signed: 03/06/2020 08:44:43 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	MONTESSORI OF CHATSWORTH		FACILITY NUMBER:	197417032
ADMINISTRATOR:	ERBE, ANNA		FACILITY TYPE:	830
ADDRESS:	10616 ANDORA AVENUE		TELEPHONE:	(818) 709-2980
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	16	CENSUS: 14	DATE:	03/03/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Anna Erbe		TIME COMPLETED:	12:00 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 Analysts (LPAs), Margarit Sislyan met with Annerose Erbe, Director and conducted a Random visit. Upon arrival, LPA observed 14 infants 5 teachers. All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. Drinking water is available. LPA observed: Furniture & Equipment age appropriate and in good repair No Baby walkers on premises Highchairs or feeding tables have broad-based legs. Plastic seats in good repair Sanitary solution out of infant reach. Changing tables have at least 1 inch thick padding covered with washable vinyl or plastic. Sides raised a minimum of 3 inches. Changing table within arm’s length of sink when in use. Toys were safe, with no sharp ages, splinters or points, nor made of small parts that can be pulled off and swallowed. Cribs or other appropriate napping equip available for each crib age infant Placement of cribs, cots or mats allows for entry/exit from the napping space Play area was observed to be free of debris. Play area was inspected for hazards and inaccessibility to bodies of water. Children are inspected for illnesses as they are picked up from their class. Most ill children are sent home prior to the end of the school day. A review of medication policy indicated that prescription over the counter medication is administered and only with parent's written permission. The designated person administers the medication and documents the dosage, date and time onto a log. Medication is properly labeled and stored in its original container. There is a separate area for isolation and care of ill children in the office. There is a mat and blanket available for each ill child.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MONTESSORI OF CHATSWORTH	FACILITY NUMBER: 197417032
	VISIT DATE: 03/03/2020

NARRATIVE

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Play area was observed to be free of debris. Play area was inspected for hazards. There are no bodies of water.
The food is provided by parents, it is properly labeled and stored in a separate basket.
Teacher child ratios were observed. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Sign in and out sheets were reviewed. The parent board was reviewed and has all the required forms posted.
Children's records were reviewed and observed to be complete.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

LPA informed the director forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov
No deficiencies cited according to Title 22 Regulation

A copy of this report must be available to the public, at the facility site for 3 years.

An exit interview was conducted.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MONTESSORI OF CHATSWORTH	FACILITY NUMBER: 197417032
	VISIT DATE: 03/03/2020

NARRATIVE

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The following were discussed:

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
Senate Bill 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a childcare facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into childcare or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Assembly Bill 1207 amended Penal Code Section 11165.7 and amended Health and Safety Code Section 1596.866 and added Health and Safety Code Section 1596.8662.
Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training.
This training requirement may be directly met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ and are provided in English and Spanish.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

LIC809 (FAS) - (06/04)

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