197494220-6-26-2019-30-CC-KSTS-BDHRUA-20190626131937

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494220
Report Date: 06/26/2019
Date Signed: 06/26/2019 01:19:46 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:	MONTESSORI OF WEST ADAMS		FACILITY NUMBER:	197494220
ADMINISTRATOR:	KHAN, RUHI		FACILITY TYPE:	850
ADDRESS:	4449 W. ADAMS BLVD		TELEPHONE:	(310) 215-3388
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY:	107	CENSUS: 0	DATE:	06/26/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Ruhi Khan		TIME COMPLETED:	01:30 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 06/26/19, Licensing Program Analyst (LPA) Karren Starks made an announced visit for the purpose of conducted a pre-licensing inspection. LPA met with the Owner/Director, Ruhi Khan and several staff members. The fire inspector has approved the capacity of 107 children as requested. The LPA was guided on a tour of the facility inside and outside. The areas designated for care as identified on the sketch were inspected and measured. The initial room adjacent to the front desk area will be used for care with a bathroom with 1 toilet, 1 sink attached. There is a larger area just through the walkway this area is to be used for care. LPA observed age appropriate furniture and manipulative toys as well as area rugs for activities and cubbies for the children's belongings. There is a gated area to the right of this area that has a chalk wall. There is a restroom with 3 toilets, 1 urinal, 2 interior sinks and 1 exterior sink adjacent to this large room area. Beyond the gated area is a carpeted room that will be used for play. Through the carpeted room is another play area that will be used for floor play. The staff restroom is adjacent to this area. Just beyond the kitchen there is another large open area that will be used for child care. LPA observed age appropriate furniture and toys in this area, area rugs will be used for floor time. There is a bathroom with 3 toilets, 3 sinks and 1 exterior sink with a water faucet. Cubbies for the children's belongings were observed in this area. First Aid/Emergency kits were observed in the large areas as well. Napping mats were observed. Operable smoke detectors and carbon monoxide detectors were observed and tested during inspection. Isolation for ill children will be at the front desk area. LPA observed the required postings at the entrance to the facility which included information regarding the menu. Per the owner, the children will bring in their own lunch with the facility providing snacks. The kitchen was inspected with a properly functioning refrigerator/freezer. A sufficient supply of snacks was also observed. In the event a child had forgotten their lunch the facility will contact the parent to obtain a lunch or the facility has a sufficient supply of items in stock to meet the child's needs. The kitchen does have properly working hot water. .

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: MONTESSORI OF WEST ADAMS	FACILITY NUMBER: 197494220
	VISIT DATE: 06/26/2019

NARRATIVE

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The facility will install a child safety gate to prevent the children from entering the kitchen area.

The outdoor play area was inspected. There is also a fence separating the playground from the parking lot. There is a large space with two large play apparatus that include spiral slides. There is swing equipment with the swing chairs removed, and a wooden playhouse type of a structure. LPA reminded the applicant to ensure that staff inspects all outdoor play apparatus daily for insects. Also to ensure the wooden playhouse wood is smooth to prevent the possibility of splinters. LPA also observed several riding toys. There are two storage sheds on the playground that are locked, preventing access by child care children.

The outdoor space is completely fenced in and there were no bodies of water observed.

LPA advised the applicant that the Department has been made aware of the presence of mold in the building. The applicant obtained a copy of the Expanded Fungal Assessment Report from the property owner. LPA will staff the report with management prior to licensure of the facility by July 26, 2109.

Based on the inspection the facility measurements are:
Indoor Space: 7067.53 divided by 35 equal 201.9.
Outdoor Space 9687738 divided by 75 equals 129.16

LPA provided the applicant with the LIC311A to ensure the facility is obtaining the required documents for the children, staff and office records.

Copy of report issued.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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