197420033-1-10-2020-30-CC-EHIL-BKPU5D-20200110141634

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197420033
Report Date: 01/10/2020
Date Signed: 01/10/2020 02:16:46 PM

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:	KREATIVE KIDS MONTESSORI		FACILITY NUMBER:	197420033
ADMINISTRATOR:	AASRITHA PURAM		FACILITY TYPE:	850
ADDRESS:	5317 TOPANGA CANYON BLVD		TELEPHONE:	(818) 585-2885
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY:	30	CENSUS:	DATE:	01/10/2020
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Aasritha Puram - 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 01/10/2020 at 12:40pm Licensing Program Analysts (LPAs) Ericka Hill and Lourdes Castellanos conducted an Unannounced Case Management Investigation Visit to follow-up on the information received from previous Complaint Report received on 10/29/2019. LPA's were greeted by the Director, Aasritha Puram (S1) and guided to S1's office. LPA's informed S1 the purpose of the visit was to follow-up on the information received regarding school-aged children attending the facility during the summer session. LPA's observed the facility ratio and observed 21 children supervised by 4 teachers (3 teachers and 1 Director). LPA's were informed that the school-aged children attend the facility only during the summer hours for approximately 4-5 days and 1-2 hours throughout the entire summer. S1 stated that the facility has only allowed school-aged children to attend the facility during the summer of 2019. S1 and S2 stated that the school-age children are between the ages of 8 and 13 years old and are the children of the teachers instructing at the facility. Director stated that the activities the school-age children engage in include reading, play on the computer, going outside in the backyard playground, sit in the kitchen area, and sit in the office. Director stated that the school-aged children do not engage with the preschool children often but will help teachers with clean-up after activities. Director also stated that the school-aged children never instruct the preschool children or are never left alone with the preschool children. Director stated that the facility hosts Holiday events that allow children that are not enrolled in the facility to attend the Holiday events. {Continues on 809-C}

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

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: KREATIVE KIDS MONTESSORI	FACILITY NUMBER: 197420033
	VISIT DATE: 01/10/2020

NARRATIVE

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In regards to the photos, Director stated that the photos are taken by the Director or a teacher at the facility. Director also stated that the photos are shared through "Group Chat" between the teachers and the photos are posted on the facility facebook page. During the investigation the Director verified that the 3 photos provided were in fact on the facility facebook page. Photos #1 and #2 was taken on July 6th during a Reptile show titled the Reptacular Animals. Director stated that the Reptile instructor is certified and the facility hosts this event every summer. Photo #3, depicting the older school-aged child, was taken on July 3rd during an art activity were S2 was instructing the preschool children on how to paint an Eiffel Tower.

Based on the interviews conducted and a preponderance of evidence obtain it was determined that S1 was allowing school-aged children to attend the facility during the summer session of 2019. This is a violation of Title 22 Regulations.

A deficiency as cited and Type B citations will be issued today, 01/10/2020. See 809-D for deficiency cited.

An exit interview was conducted and a copy of this LIC809, LIC809-D, Appeal Rights (LIC9058), and a Notice of Site Visit (shall remain posted for 30 days) was provided to Aasritha Puram, Director.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

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: KREATIVE KIDS MONTESSORI	FACILITY NUMBER: 197420033
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/10/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/10/2020 Section Cited	1 2 3 4 5 6 7	Limitations on Capcity and Ambulatory Status 101161(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
	8 9 10 11 12 13 14	This requirement is not met as evidence by: The facility was operating outside of the scope of the license by allowing school-aged children to attend the facility during the summer of 2019. This poses a potential Health and Safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

LIC809 (FAS) - (06/04)

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