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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494220
Report Date: 10/18/2022
Date Signed: 10/18/2022 01:55:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/11/2022 and conducted by Evaluator Antonio Almanza
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20221011083119
FACILITY NAME:MONTESSORI OF WEST ADAMSFACILITY NUMBER:
197494220
ADMINISTRATOR:KHAN, RUHIFACILITY TYPE:
850
ADDRESS:4449 W. ADAMS BLVDTELEPHONE:
(310) 215-3388
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY:107CENSUS: 66DATE:
10/18/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Allegation, Staff are not allowing parents in the facility.
INVESTIGATION FINDINGS:
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On 10/18/22 at 09:01 PM, Licensing Program Analysts (LPA) Antonio Almanza conducted an unannounced complaint investigation. LPA met with the Director/Owner RUHI KHAN and explained the purpose of the site visit. LPA toured the facility, during todays visit there were a total of 80 children and 12 adults providing care and supevision.

During today visit LPA made interviews regarding the allegation,Staff are not allowing parents in the facility. Four staff interviewed are reporting that parents are not allowed to enter the facility. Based on LPAs interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. Health and Safety Code, are being cited on the attached LIC9099D.

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Substantiated
Estimated Days of Completion: 60
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 58-CC-20221011083119
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: MONTESSORI OF WEST ADAMS
FACILITY NUMBER: 197494220
VISIT DATE: 10/18/2022
NARRATIVE
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During today’s visit one Type B violation is being issued under Health and Safety Code, 1596.857, (a) Upon presentation of identification, the responsible parent or guardian of a child receiving services in a child day care facility has the right to enter and inspect the facility without advance notice during the normal operating hours of the facility or at any time that the child is receiving services in the facility. Parents or guardians when inspecting shall be respectful of the children's routines and programmed activities. The facility shall inform parents and guardians of children receiving services in the facility of the right of the parents and guardians to inspect the facility pursuant to this section.

LPA notified the Director that per Health and Safety Code, 1596.857, (c) If any child day care facility denies a parent or legal guardian the right to enter and inspect a facility or retaliates, the department shall issue the facility a warning citation. For any subsequent violation of this right, the department may impose a civil penalty upon the facility of fifty dollars ($50) per violation. The department may take any appropriate action, including license revocation.

The Notice of Site Visit (LIC 9213) – 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.

A copy of this Report (LIC9099 & LIC9099d), Appeal Rights (LIC9058) and Notice of Site Visit were reviewed and provided to the Director/Owner RUHI KHAN.

LPA emailed a copy of the report due to equipment issues.



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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 58-CC-20221011083119
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: MONTESSORI OF WEST ADAMS
FACILITY NUMBER: 197494220
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/18/2022
Section Cited
HSC
1596.857(a)
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1596.857, (a) Upon presentation of identification... parent or guardian... has the right to enter and inspect the facility without advance notice during the normal operating hours of the facility or at any time that the child is receiving services in the facility...
This Requirement is not met as evidenced by:
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Director has provided all staff written notice that parents have the right to enter the facility and inspect it. Staff signed of on receiving notice and notice was placed in staff files.
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Based on interviews, 4 staff interviewed are reporting that parents are not allowed to enter the facility, which poses a potential Health or Safety, or personal rights risk to persons 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: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4