197417552-9-15-2022-58-CC-SORS-CJAUQR-20220915154734

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197417552
Report Date: 09/15/2022
Date Signed: 09/15/2022 03:47:43 PM

Document Has Been Signed on 09/15/2022 03:47 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	MONTESSORI OF MALIBU CANYON		FACILITY NUMBER:	197417552
ADMINISTRATOR:	KAREN LEVY		FACILITY TYPE:	850
ADDRESS:	4029 LAS VIRGENES ROAD		TELEPHONE:	(818) 223-1706
CITY:	CALABASAS	STATE: CA	ZIP CODE:	91302
CAPACITY:	108	CENSUS: 68	DATE:	09/15/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Alexis Lopes- Assistant Director		TIME COMPLETED:	04:00 PM

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On 09/15/2022 Licensing Program Analyst (LPA), Suzette Ornelas conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Assistant Director, Alexis Lopez and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday 7a to 6p. Facility is equipped with a security camera system and security entry system.

LPA observed 68 children and 9 adults. A review of the digital sign in/out sheet was conducted to verify the current census of children. All children are under supervision, including visual supervision, of a teacher at all times. Capacity and limitations as specified on the license are being maintained. LPA observed 5 licensed preschool classrooms on the premises. RM 1: Dolphin (2 year olds), RM 2 Orca (3year olds), RM 3 Polar Bear (5 year olds), RM 4 Otter (older 3’s-4 year olds), RM 5 Seal (4 year olds)

All areas identified on the Facility Sketch were inspected. The following staff were present during this inspection:

RM 1: 9 preschool children with a ratio of 2 teacher
RM 2: 14 preschool children with a ratio of 2 teacher
RM 3: 10 preschool children with a ratio of 1 teachers
RM 4: 17 preschool children with a ratio of 2 teachers
RM 5: 18 preschool children with a ratio of 2 teacher

A walk through of the classroom room space was conducted, the space was found to be clean and free from any potential hazards. Furniture was found to be in good repair and age appropriate. LPA observed all required postings in a prominent area. There is adequate heating, lighting and ventilation. Drinking water is readily available. Isolation area for sick students is located in the Main Office or an area in Room 1 nearthe Main Office. LPA observed adequate arrangements for isolation and care of ill children.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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

FACILITY NAME: MONTESSORI OF MALIBU CANYON	FACILITY NUMBER: 197417552
	VISIT DATE: 09/15/2022

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The bathroom and toileting areas were inspected, LPA observed toilets and sinks to accommodate the facility’s capacity. Room 1 and 2 are equipped with a restroom (1 toilet 1 sink 1 changing table). There is a separate building with designated boys and girls restrooms. Each restroom has 4 toilets and 2 sinks. Toilets flush properly, toilet and sinks are reachable by the children in care. The restrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathroom area.

Playground equipment is in safe condition and free of hazards. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. All kitchen, food preparation and storage areas are clean and safe. Per Assistant Director, parents provide daily meals for children; however, daily snacks are provided and a weekly menu is posted out front for the parents to view. Drinking water is available both indoors and outdoors. The facility is equipped with a working smoke detector, carbon monoxide detectors in every building and fire extinguishers (2A 10BC). There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

The facility has sufficient cots or mats for napping. LPA was unable to view staff/children files or confirm mass casualty plan of action due assistant director not having access to the locked file cabinet. A continuation visit will need to be conducted to complete this part of the inspection. LPA provided Assistant Director with a copy of the Disaster and Mass Casualty Plan regulation and information on ensuring the plan follows regulating requirements, to be maintained at the facility moving forward.

Incidental Medical Services (IMS) are currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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

FACILITY NAME: MONTESSORI OF MALIBU CANYON	FACILITY NUMBER: 197417552
	VISIT DATE: 09/15/2022

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LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

LIC809 (FAS) - (06/04)

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