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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420033
Report Date: 11/20/2023
Date Signed: 11/20/2023 04:20:48 PM


Document Has Been Signed on 11/20/2023 04:20 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:KREATIVE KIDS MONTESSORIFACILITY NUMBER:
197420033
ADMINISTRATOR:AASRITHA PURAMFACILITY TYPE:
850
ADDRESS:5317 TOPANGA CANYON BLVDTELEPHONE:
(818) 585-2885
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:30CENSUS: 7DATE:
11/20/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:56 PM
MET WITH:Aasritha Puram, Director TIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Joe Katrdzhyan and Lilia Hernandez conducted an announced inspection on 11/20/2023. LPAs met Aasritha Puram, Director, who assisted LPAs with touring the facility. There were 7 children present during this inspection.

The purpose of the visit is to address deficiencies that were discovered during the prelicensing inspection conducted on 11/20/2023.

At 10:04AM, LPAs observed the current outdoor emergency exit blocked with vinyl fencing. The blocked passageway on the metal fencing (behind the vinyl fencing) was observed to have a 23.5 inch clearance. The requirement per the fire department is at 36 inches.
LPA's observed loose bricks on cinder block fencing along property line next to the sand box where children play.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the Director.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Aasritha Puram, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2023
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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Document Has Been Signed on 11/20/2023 04:20 PM - It Cannot Be Edited

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: KREATIVE KIDS MONTESSORI
FACILITY NUMBER: 197420033

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/22/2023
Section Cited
CCR
101223(a)(2)

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Personal Rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs
This requirement was not met as evidenced by:
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Per Director, exit gate will be made accessible and estimates to widen the exit gate to meet fire department clearance of 36 inches will be made and corrections will be submitted via email to LPA Hernandez by POC due date.
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LPAs observed the current outdoor emergency exit blocked with vinyl fencing. The blocked passageway on the metal fencing (behind the vinyl fencing) was observed to have a 23.5 inch clearance. The requirement per the fire department is at 36 inches which poses an immediate health, safety, and personal rights risk to 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: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 11/20/2023 04:20 PM - It Cannot Be Edited

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: KREATIVE KIDS MONTESSORI
FACILITY NUMBER: 197420033

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
CCR
101238(a)

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Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
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Per Director, sand box will be made inaccesible, repairs to brinks willbe made and photos of corrections will be submitted via emial to LPA Hernandez by the POC Due Date.
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This requirement was not met as evidenced by:LPAs observed loose bricks on cinder block fencing along property line next to the sand box where children play which poses a potential health, safety, and personal rights to 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: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2023
LIC809 (FAS) - (06/04)
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