197418249-1-20-2023-58-CC-SORS-CN9VLX-20230120153240

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197418249
Report Date: 08/23/2022
Date Signed: 01/20/2023 03:33:04 PM

Document Has Been Signed on 01/20/2023 03:33 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:	TSJN (MARIA'S MONTESSORI)		FACILITY NUMBER:	197418249
ADMINISTRATOR:	GAYANI SENARATNE		FACILITY TYPE:	850
ADDRESS:	7930 MASON AVENUE		TELEPHONE:	(818) 882-5755
CITY:	WINNETKA	STATE: CA	ZIP CODE:	91306
CAPACITY:	72	CENSUS: 43	DATE:	08/23/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Esme Moodley - Assistant Director		TIME COMPLETED:	02:25 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	On 08/23/2022 Licensing Program Analyst (LPA), Suzette Ornelas conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Assistant Director, Esme Moodley, and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday 7a-6p. The facility is licensed to serve 62 preschoolers and 10 toddlers under the toddler option program. A review of the sign in/out sheet was conducted to verify the current census of children. Upon LPA’s arrival, 8 adults, 4 toddlers ages 18-36 months and 39 preschool children were observed on site. LPA observed all required postings in a prominent area. A walk through of the classroom area was conducted. There are 4 classrooms on site. Classroom 1, is the toddler room which included an attached restroom with a changing table toilet and sink. Classroom 2 is a preschool classroom and has its own restroom with a changing table, toilet and sink. Classroom 3 and 4 are used for preschool care. The children share one outdoor area restroom which is located to the side of classroom 3 and includes 5 toilets and 3 sinks. Ratio at the facility is being maintained. LPA provided director with information on teacher child ratio regulations and ensuring all children are under supervision, including visual supervision, of a teacher at all times. Floors in the facility are clean and safe. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition and free of hazards. The surface of the outdoor activity space for all 3 play yards are maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. LPA reminded assistant director to ensure that the outdoor play areas are regularly inspected and dusted off before play to ensure there are not any potential hazards. All kitchen, food preparation and storage areas are clean and safe. LPA observed the facility menus posted and displayed at the facility for the entire month. Drinking water is available both indoors and outdoors. The facility is free of flies, insects and rodents. The facility is equipped with working fire extinguishers (2A 10BC), carbon monoxide detectors and smoke detectors located in each building.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022

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: TSJN (MARIA'S MONTESSORI)	FACILITY NUMBER: 197418249
	VISIT DATE: 08/23/2022

NARRATIVE

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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. LPA observed documentation regarding monthly drills. The facility has sufficient cots or mats for napping. Each mat or cot is occupied by only one child at time and stored in individual bags for each child. Assistant Director will create a toddler option agreement and will ensure it is readily available for the department to review.

LPA reviewed a sample of children’s records to be complete. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. LPA reviewed a sample of staff files and observed files were incomplete. Assistant Director will submit proof of MMR and Tdap for 6 staff to LPA via email. Assistant Director is aware that Mandated Reporter Training is to be completed by all staff every 2 years. LPA provided director with a copy of the Disaster and Mass Casualty Plan regulation and information on ensuring the plan follows requirements, which is to be maintained at the facility moving forward. Assistant Director will create a mass casualty plan and submit proof to LPA via email.

Incidental Medical Services (IMS) are not currently being provided. Director 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.
LPA and Director 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.
A copy of this report was emailed to the Director with instruction to reply to the email, which will serve as a signature.
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: 09/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022

LIC809 (FAS) - (06/04)

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