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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493554
Report Date: 07/16/2019
Date Signed: 07/16/2019 04:45:58 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:ROYAL MONTESSORI SCHOOLFACILITY NUMBER:
197493554
ADMINISTRATOR:WILLIAM, VASANTHYFACILITY TYPE:
830
ADDRESS:18740 VANOWEN STREETTELEPHONE:
(818) 343-1525
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:5CENSUS: 2DATE:
07/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:26 PM
MET WITH:Mary KumarTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA), Margarit Sislyan met with Mary Kumar, Director and conducted an Annual Random visit. Infant Center utilizes 1 room and there is a separate crib area. Licensee serves infants started from 0 months to 24 months old. Upon arrival, LPA observed 2 infants with one teacher.
LPA observed:
· Furniture & Equipment was age appropriate and in good repair
· No Baby walkers on premises
· Feeding tables have plastic seats and in good repair
· Sanitary solution out of infant reach.
· Changing tables have at least one-inch-thick paddings covered with washable vinyl or plastic. Sides raised a minimum of 3 inches. Changing table within arm’s length of sink when in use.
· Toys safe, with no sharp ages, splinters or points, nor made of small parts that can be pulled off and swallowed.
· Cribs or other appropriate napping equip available for each crib age infant
· Bedding separately identified and stored for each infant
Play area was observed to be free of debris. Play area was inspected for hazards and inaccessibility to bodies of water.
LPA observed the placement of cribs allows for entry/exit from the napping space.

Children are inspected for illnesses as they are picked up from their class. Most ill children are sent home prior to the end of the school day. A review of medication policy indicated that only prescription medication is administered. The classroom teacher administers the medication and documents the dosage, date and time onto a log. There is a separate area for isolation and care of ill children in the office.

SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: ((42) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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: ROYAL MONTESSORI SCHOOL
FACILITY NUMBER: 197493554
VISIT DATE: 07/16/2019
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Play area was observed to be free of debris. Play area was inspected for hazards. There are no bodies of water.
The food is provided by parents, it is properly labeled and stored separately in individual baskets.
Teacher child ratios were observed. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. Sign in and out sheets were reviewed. The parent board was reviewed and has all the required forms posted.

Staff records were reviewed and observed to be complete. All staff certified in Pediatric CPR and First Aid (Expiration date 9/15/19)

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

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.
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.
LPA informed the director forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

An exit interview was conducted.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: ((42) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
LIC809 (FAS) - (06/04)
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