197494220-7-26-2021-30-CC-JCHR-C5AR5T-20210726124336

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494220
Report Date: 07/26/2021
Date Signed: 07/26/2021 12:43:52 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: 35	DATE:	07/26/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Andrea Brito - Office manager/ Ruhi Khan director		TIME COMPLETED:	01:01 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 7/26/2021 Licensing Program Analyst (LPA), Jillinda Chandler conducted an unannounced *1 Year Required/Annual Random* visit for Montessori of West Adams preschool. Upon arrival LPA met with office manager who guided LPA on a tour of the facility. LPA observed the following: Care and supervision were observed. The centers capacity and ratios were within the scope of the license Appropriate size fire extinguisher carbon and smoke detector present & operable. Detergents, toxins and knives were inaccessible Properly working telephones in each class room License, facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights Poster and California Safety Seat Law are posted At least on person present had current Adult/ Pediatric CPR and First Aid. No bodies of water were observed on the premises, during todays visit Children records available and in good order. Staff files were reviewed, and found to be updated and complete pg.1 of 3

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: 07/26/2021

NARRATIVE

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Staff files were reviewed, and found to be updated and complete A children's roster was readily available and current
Classrooms were clean, adequate lighting and ventilation was observed.
Toys, equipment and materials available and in good order
The kitchen was clean; sharp items, toxins and detergents were inaccessible to children in care.
Refrigeration was available for food capable of spoilage and contamination, no foods of this sort were observed during todays visit.
Parents provide snacks and lunches. LPA advised Ms. Brito that the school should maintain an emergency supply of food.
Children have personal water containers for drinking water. LPA advised Ms. Brito that during Covid 19 water fountains should not be used by children
Mats were observed for napping, no rips or exposed cushioning were observed during todays visit
Parents use there original signatures to sign children in and out daily
Cubbies for children's belonging were observed
restrooms were clean, age appropriate toilets and sinks were operable and the necessary toiletries were available
The outdoor activity area was observed; toys and equipment were found to be in fair condition, resilient cushioning was observed under all climbing apparatus.
pg 2 of 2

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: 07/26/2021

NARRATIVE

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LPA advised Ms. Brito to make the broken sea horse ride inaccessible to children and to devise a plan to ensure the railing surrounding the meter is safe for children in care.

It was also discussed during todays visit regarding the school director, per Ms. Khan, paperwork will be submitted to the regional office assigning Cindy Martinez as the cite director of this location.

No deficiencies were observed during todays visit.

An exit interview was conducted and a copy of this report was provided to the director.

pg. 3 of 3

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021

LIC809 (FAS) - (06/04)

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