197494554-7-29-2020-30-CC-CESO-BRYU7F-20200729151951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494554
Report Date: 07/11/2020
Date Signed: 07/29/2020 03:20:02 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:	BURBANK MONTESSORI ACADEMY		FACILITY NUMBER:	197494554
ADMINISTRATOR:	KITHMINI CURRY		FACILITY TYPE:	850
ADDRESS:	217 N HOLLYWOOD WAY		TELEPHONE:	(818) 633-0581
CITY:	BURBANK	STATE: CA	ZIP CODE:	91505
CAPACITY:	45	CENSUS: 0	DATE:	07/11/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Kithmini Curry-Applicant		TIME COMPLETED:	01:00 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 07/11/2020 Licensing Program Analysts (LPAs) Ericka Hill and Claudia Escobedo met with Applicant, Kithmini Curry. The purpose of the visit was an announced Pre-Licensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 Regulations governing California Child Care Centers will be met. No children were present during this inspection. This is an application to change ownership. The requested capacity is 45 preschool children. The child care center will operate Monday-Friday from 7:00 a.m. to 6:00 p.m. LPAs Hill and Escobedo toured and measured the on-limits areas and classrooms at the facility. The facility has a total of 4 classrooms. Children will have access to 5 sinks and 5 toilets. The indoor space of the facility measures 1,869 square feet. The outdoor space of the facility measures 8,284 square feet. Based on the indoor and outdoor space that was measured, the facility has sufficient space for the requested capacity of 45 children. Due to COVID-19 state guidelines, sign-in is currently taking place in the outdoor space of the facility. Parents sign-in their children for child care through the parking lot entrance leading to the outdoor space. Children are then led to their assigned classroom. Applicant states that the facility has 16 cameras installed throughout the indoor and outdoor space of the facility. LPAs Hill and Escobedo observed the child care center to be clean, sanitary and in good repair. The floors of the facility are safe and clean. A comfortable temperature for children was observed. Furniture and equipment was observed to be in good condition, free of sharp, loose or pointed parts. All play equipment and materials were age-appropriate. LPAs Hill and Escobedo observed the availability of individual storage space for each child's personal belongings. Pitchers of water are placed in each classroom and are readily Continued on LIC 809-C

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2020

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: BURBANK MONTESSORI ACADEMY	FACILITY NUMBER: 197494554
	VISIT DATE: 07/11/2020

NARRATIVE

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available for children to drink. LPAs Hill and Escobedo observed first-aid supplies that were accessible to staff but inaccessible to children in care. The first-aid kits included: first-aid manuals, dressings, bandages, adhesive tape, scissors, tweezers, thermometers, and antiseptic solution. Classroom #1 is equipped with a fire extinguisher size 3A:40:B:C with a service date of 10/08/2019. Classroom #4 is equipped with a fire extinguisher size 2A:10:B:C with a service date of 10/08/2020. LPAs Hill and Escobedo observed 6 combination smoke/carbon monoxide detectors throughout the facility. The isolation room for ill children is located in the child care center office and is equipped with a couch. The facility has a working telephone. The facility is equipped with cots for children who nap. Toilets and handwashing facilities appear to be safe and operating in sanitary conditions. Water temperature is adequate for children in care. The program offers midmorning and midafternoon snacks, which is prepared in the kitchen area of the facility. Lunch is not provided by the program, but is brought in by each child.

The outdoor play area is enclosed by a fence higher than 4 feet high, to protect children and to keep them in the outdoor activity area. The outdoor activity area is equipped with shaded rest areas for children. The outdoor play are is free of hazards.

LPAs Hill and Escobedo observed the following postings in the facility: LIC 613A - Personal Rights Child Care Facilities and LIC 610 - Emergency Disaster Plan.

The following are plans of corrections:

Classroom #1-Correct metal kick-plate in the doorway leading to the girl's restroom
Knives in the kitchen to be made inaccessible to children in care
Teacher lockers should be equipped with locking mechanisms
Toxic substances, including cleaning detergents, disinfectants and poisons should be made inaccessible to children in care
Ensure that the facility is free of insects and rodents. Please supply the El Segundo Regional Office with work orders for pest control for the past 3 months
All containers used for storage of solid wastes, including moveable bins, shall have a tight-fitting cover that is kept on and in good repair.

Continued on LIC 809-C

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2020

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: BURBANK MONTESSORI ACADEMY	FACILITY NUMBER: 197494554
	VISIT DATE: 07/11/2020

NARRATIVE

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PUB 393 - Child Care Center Notification of Parent's Rights Poster needs to be corrected to show the contact information to the El Segundo Child Care Office
Electrical outlets must be equipped with safety covers.
Submit pictures of the interior of the outdoor shed

Applicant was provided with the LIC 311 - Records To Be Maintained At The Facility - Child Care Centers, Infant Centers, School-Age Centers and Child Care Centers for Mildly Ill Children.

Applicant was made aware that medications shall be kept in a safe place inaccessible to children. The licensee was made aware that smoking is prohibited on the premises of a child care center. A baby walker shall not be allowed on the premises of a child care center.

A copy of this report was emailed to the Applicant with instruction to reply to the email, which will serve as a signature.

An exit interview was conducted with the above items discussed and a copy of this report was provided to the Applicant. Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues. Applicant to correct items by 07/31/2020.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2020

LIC809 (FAS) - (06/04)

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