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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419230
Report Date: 12/18/2019
Date Signed: 12/18/2019 11:56:13 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:PACIFIC EXPLORER MONTESSORIFACILITY NUMBER:
197419230
ADMINISTRATOR:MADUKA WIJAYARATNAFACILITY TYPE:
850
ADDRESS:22504 ERIEL AVENUETELEPHONE:
(310) 326-8070
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:50CENSUS: DATE:
12/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maduka Wijayaratna, DirectorTIME COMPLETED:
12:30 PM
NARRATIVE
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On December 18, 2019 at 9:00 AM, Licensing Program Analyst (LPA) Miriam Cohen met with Maduka Wijayaratna, Preschool Director of Pacific Explorer Montessori 197419230 located at 22504 Eriel Avenue, Torrance, CA 90505 for the purpose of conducting an Annual Random Inspection. LPA toured and inspected the classroom, interior and exterior, as identified in the facility sketch. The preschool hours are from 7:30 AM to 6:00 PM, Monday through Friday. Upon arriving at the preschool, LPA observed 20 children being supervised by three adults.
LPA observed care provided in two classrooms with Toddler Option.
Toddler Option classroom with a ratio of one teacher to five children
Preschool classroom with a ratio of two teachers to 15 children
Per director, there are no weapons or firearms allowed or stored on the premises. LPA did not observe any weapons or firearms.
The following were observed by LPA:
*Each classroom was found to be clean and free from any potential hazards
*Disinfectants, cleaning solutions, poisons, and other items that are dangerous inaccessible to children
*Storage areas for poisons were observed in locked cabinets
*Each classroom has age appropriate material and equipment
*Furniture in the classroom is found to be in good repair and age appropriate
*All toilets, handwashing, were found to be in safe and sanitary operating condition
*Floors appeared to be clean and safe
*All kitchen, food-preparation and storage areas were kept clean, free of litter, rubbish and free of rodents and other vermin *All foods or beverages capable of supporting the rapid and progressive growth of micro organisms that can caused food intoxications were stored in covered containers at 45 degrees F
*Uncontaminated water was readily available both indoors and outdoors.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 5
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: PACIFIC EXPLORER MONTESSORI
FACILITY NUMBER: 197419230
VISIT DATE: 12/18/2019
NARRATIVE
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*The areas around or under high climbing equipment, slides and similar equipment were cushioned with material that absorbs a fall.
*All materials and surfaces accessible to children are toxic free
*The facility is free of flies, other insects, and rodents
Currently, the above does not provide IMS. First Aid supplies are stored in the main office. Children and staff records were reviewed during inspection for completeness including but not limited to Criminal Record Clearances for adults, Director Qualifications and verification of CPR/First Aid and Health and Safety preventative practices documentation. LPA observed CPR/First Aid expires 11/2021.
LPA advised the director that records for all children and staff must be maintained for three years after separation from the facility. A record of teachers/assistant’s names was check against current facility roster. All Staff members are currently associated to the campus where they are assigned to work. Required postings were observed by LPA.
Feeding tables, changing tables, toilet training seats, napping equipment placement, bedding identification, separate napping area and storage areas were observed and inspected.
The following requirements were discussed with the licensee:
Mandatory forms for the children and provider’s files; requirements for fire drills, earthquake drills, and documentation for both; role and responsibilities of being a mandated reporter. The licensee was advised on how to access forms and Regulations for Child Care Center online at www.ccld.ca.gov . Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco on the premises.
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
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: PACIFIC EXPLORER MONTESSORI
FACILITY NUMBER: 197419230
VISIT DATE: 12/18/2019
NARRATIVE
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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
The ADA requires that child care providers not discriminate against persons with disabilities on the basis of disability, that is, that they provide children and parents with disabilities with an equal opportunity to participate in the child care center's programs and services.
Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 (5 days) for the 1st offense and up to $3000.00 for the 2nd offense within a 12-month period. The licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and licensing within the time frame specified by the regulation. The "Notification of Parent's Rights" (PUB394) poster must be posted in an area accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.

The licensee was informed of The Child Care Advocate Program (CCAP) that is available from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov

AB 1207: 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. Website: www.mandatedreporterca.com


Senate Bill 792: this bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles. LPA discussed the influenza waiver during the visit.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: PACIFIC EXPLORER MONTESSORI
FACILITY NUMBER: 197419230
VISIT DATE: 12/18/2019
NARRATIVE
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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 child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.
New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment. Appeal may be submitted and mailed to the following address:
300 North Continental Blvd. suite # 290 A
El Segundo, CA 90245
The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).
The facility was found to be NOT in compliance per Title 22 regulations,
The above facility shall be cited a Type B deficiency, today, 12 /18/19.
*101229.1(a)(1)(b) Sign In and Sign Out
(a)In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and
implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following:
(1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.
LPA observed missing signatures in Sign In/Out record sheets. The above requirement is not met as evidenced by observation and record reviews conducted during today’s inspection. The director failed to ensure that the above records have appropriate and complete signature. This poses a potential risk to the health and safety of the children in care. Director agrees to send proof of correction, missing signatures obtained and email reminder to parents by 12/18/2019, end of business day. A copy of this report along with a Notice of Site Visit were issued and explained to the licensee.
An exit interview was discussed and conducted with preschool director, Maduka Wijayaratna , including, but not limited to: Provider Rights, Appeal Procedures and Agency's Consultative Role.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: PACIFIC EXPLORER MONTESSORI
FACILITY NUMBER: 197419230
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2019
Section Cited

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Sign In and Sign Out
(a)In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and
implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following:
(1) The person who signs the child in/out
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shall use his/her full legal signature and shall record the time of day.
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. LPA observed missing signatures in Sign In/Out record sheets. The above requirement is not met as evidenced by observation and record reviews conducted during today’s inspection. The director failed to ensure that the above records have appropriate and complete signature. This poses a potential risk to the health and safety of the children in care.
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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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2019
LIC809 (FAS) - (06/04)
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