197493135-11-6-2024-58-CC-SORS-DARPEU-20241106101542

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493135
Report Date: 11/05/2024
Date Signed: 11/06/2024 10:15:50 AM

Document Has Been Signed on 11/06/2024 10:15 AM - 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:	EXPLORING MINDS MONTESSORI HAZELTINE		FACILITY NUMBER:	197493135
ADMINISTRATOR/ DIRECTOR:	KARINA NAVA		FACILITY TYPE:	850
ADDRESS:	5128 HAZELTINE AVE		TELEPHONE:	(818) 465-3216
CITY:	SHERMAN OAKS	STATE: CA	ZIP CODE:	91423
CAPACITY: 28	TOTAL ENROLLED CHILDREN: 26	CENSUS: 25	DATE:	11/05/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:42 AM
MET WITH:	Brenda Alvarado		TIME VISIT/ INSPECTION COMPLETED:	01:40 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 11/5/2024 Licensing Program Analyst (LPA), Suzette Ornelas conducted unannounced required annual inspection at the above mentioned facility. LPA met with Facility Representative, Brenda Alvarado and discussed the purpose of the visit. Facility Representative guided LPA on a tour of the facility inside and out. Days and hours of operation are Monday through Thursday 8:30am to 4:00pm; Friday 8:30am-1:30pm. LPA observed all required postings in a prominent area. LPA observed 25 children and 3 adults. Per facility representative, 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. A walk through of the classroom area was conducted. LPA observed 1 licensed preschool classrooms on the premises. All areas identified on the Facility Sketch were inspected. RM 1: 25 children and a total of 3 staff 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. There is adequate heating, lighting and ventilation. Isolation area for sick students is a designated area within each classroom. LPA observed adequate arrangements for isolation and care of ill children. The bathroom and toileting areas were inspected, LPA observed 3 toilets and 5 sinks to accommodate the facility’s capacity. Toilets 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.

Raul Navarro	TELEPHONE: (424) -30-3072
Suzette Ornelas	TELEPHONE: 424-301-3008
	DATE: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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: EXPLORING MINDS MONTESSORI HAZELTINE	FACILITY NUMBER: 197493135
	VISIT DATE: 11/05/2024

NARRATIVE

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There are 2 outdoor sinks in the outdoor area. LPA observed 1 of the sinks to be in need of repair. The sink was observed to have broken tile that needs to be repaired to ensure children are not injured. There is a window visible from the outdoor play yard that is shared with the children's restroom that was observed to be cracked/broken and in need of repair. Facility Representative will provide LPA with proof of correction via email on or before 12/5/2024.

All kitchen, food preparation and storage areas are clean and safe. Per Facility Representative, parents provide daily meals for children and school provides snacks as needed. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is readily available both indoors and outdoors via water dispensers located inside the classroom and outside on the play yard. Per facility representative, a water delivery service provides 4- 5 gallon water bottles every two weeks to ensure children have access to potable drinking water. LPA obtained documentation of delivery service via ready refresh. Lead testing not required for water due to to school not meal prepping or having sources of drinking water . The facility is equipped with a working smoke detector and carbon monoxide detector. LPA observed fire extinguishers (2A 10BC) located throughout the facility with service date of 9/12/2024. There is no swimming pool or other bodies of water on the premises. First Aid Kit was observed to be complete. Fire Drill log was observed to be complete and current. 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. Each mat or cot is occupied by only one child at time. LPA reviewed a sample of children’s files and observed files were 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. CPR and Pediatric First Aid certificates were observed to be complete. 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 complete,

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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: EXPLORING MINDS MONTESSORI HAZELTINE	FACILITY NUMBER: 197493135
	VISIT DATE: 11/05/2024

NARRATIVE

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LPA and Facility Representative 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Administrator was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, 1 type B deficiency is being cited. (See LIC809-D)

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative, Brenda Alvarado.

SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/06/2024 10:15 AM - It Cannot Be Edited

Created By: Suzette Ornelas On 11/05/2024 at 01:14 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: EXPLORING MINDS MONTESSORI HAZELTINE	FACILITY NUMBER: 197493135
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)(2)

Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 1 broken outdoor sink and 1 broken window sgared with outdoror yard/childrens restroom which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/05/2024
	Plan of Correction
1 2 3 4	Facility Representative will provide pictures of corrections to LPA via email at suzette.ornelas@dss.ca.gov

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Raul Navarro

TELEPHONE: (424) -30-3072

LICENSING EVALUATOR NAME:

Suzette Ornelas

TELEPHONE: 424-301-3008

LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

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