<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494821
Report Date: 06/09/2021
Date Signed: 06/18/2021 09:12:12 AM

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:INGLEWOOD MONTESSORI - INFANTFACILITY NUMBER:
197494821
ADMINISTRATOR:LOURDES ALVAREZFACILITY TYPE:
830
ADDRESS:1512 CENTINELA AVETELEPHONE:
(310) 677-4406
CITY:INGLEWOODSTATE: CAZIP CODE:
90302
CAPACITY:40CENSUS: 0DATE:
06/09/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Jessica Chang-Applicant 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 06/09/2021 at 11:14 P.M. Licensing Program Analyst (LPA)Jillinda Chandler made an announced visit to Inglewood Montessori pre-school for the purpose of conducting a pre-licensing inspection. LPA met with Jessica Chang, Leslie Wang and Evelyn Alvarez (director) who provided a tour of the facility. The applicant is requesting an infant license with a capacity of 33 infants age 0 thru 2 years of age. LPA observed a single story building with two classrooms. The applicant also has a preschool program (197494820) located adjacent to this building at; 1518 Centinela Blvd. There is an approved fire clearance on file conducted by inspector Michael Judkins of the Los Angeles Fire Prevention Bureau

INDOOR ACTIVITY SPACE

Fire extinguishers were 2AB10C or larger. Fire extinguishers were last inspected 05/19/2021.

Carbon monoxide detectors were present.

A first aid kit were located on site with the required essentials: scissors, bandages, tweezers, and thermometer pg. 1

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
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 7
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: INGLEWOOD MONTESSORI - INFANT
FACILITY NUMBER: 197494821
VISIT DATE: 06/09/2021
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
26
27
28
29
30
31
32
Age appropriate toys and equipment were observed in good repair

Portable heaters will be used for heating and fans for cooling

Adequate lighting was observed

Classrooms were clean in good repair

Storage for children’s belongings and were observed

Trash cans used for solid waste were observed with tight fitting lids

Open face heaters were made inaccessible to children

Disinfectants and cleaning solution and other toxins or poisons were not present during todays visit

The main office will be used for isolation of ill children and the restroom located in room two (older infant area)will be designated for ill children, and off limits to well children. The designation will not interfere with the toilet/sink requirements

The classrooms are equipped with working telephones the nearest working telephone is located in the main office.

pg.2

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2021
LIC809 (FAS) - (06/04)
Page: 2 of 7
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: INGLEWOOD MONTESSORI - INFANT
FACILITY NUMBER: 197494821
VISIT DATE: 06/09/2021
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
26
27
28
29
30
31
32
Parents and authorized adult will sign in using their original signatures.

The required postings shall be posted in this common area.

The napping area was located in a separate room. Mats and 12 approved standard cribs, 4 with emergency wheels were observed for napping.

No baby walkers or bouncers were observed during today inspection

Measurements for the indoor activity space was 1183.388 divided by 35 SQ. FT. per child = 33 children

FOOD SERVICE:

Snacks will be provided by the facility, parents shall provide formulas,baby food and lunches. All foods shall be labeled and properly stored.

Weekly menus shall be posted for review. Applicant shall make preparation for alternate snacks for children with allergies or have them supplied by parents.

Center shall devise an Incidental Medical Service plan and provide to parents of children with allergies (epi-pen), asthmatic (inhalers), and children needing G-tube feeding

pg. 3

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2021
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: INGLEWOOD MONTESSORI - INFANT
FACILITY NUMBER: 197494821
VISIT DATE: 06/09/2021
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
26
27
28
29
30
31
32
The center has a food prep area for preparing and heating meal and formulas.

Toxins and poisons were made inaccessible to children.

Refrigeration was provided for formulas, breast milk and foods capable of supporting rapid contamination or spoil.

The kitchen was clean in fair condition

RESTROOMS

THERE WERE:

6 toilets and 1 urinal = 1 toilet per 15 children (1 urinal per every 2 toilets are added to the toilet count), for a capacity of 105 children

8 sinks = 1 sink per 15 children for a capacity of 120 children

Toilets and sinks were not age appropriate applicant shall provide stable based stools to assist children in accessing these fixtures

The restrooms were clean and sanitized with the necessary toiletries, sinks and toilets were operable and in good repair. Faucets delivered cold water.

pg. 4

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
LIC809 (FAS) - (06/04)
Page: 3 of 7
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: INGLEWOOD MONTESSORI - INFANT
FACILITY NUMBER: 197494821
VISIT DATE: 06/09/2021
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
26
27
28
29
30
31
32
OUTDOOR ACTIVITY SPACE

Age appropriate toys and equipment were observed in the outdoor activity space in good repair.

The play yard was completely gated with a 4 inch or higher gate.

Applicant shall ensure any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. LPA observed water hose faucets and meters that could pose a safety hazard.

Artificial grass was observed in good repair for cushioning

Tents and shading tarps provided shading

Age appropriate benches for resting were available for children’s use

Measurements for the outdoor activity area were 1911.84 divided by 75 sq. ft. per child for capacity total of 25 children

Center is requesting a waiver for Title 22, section 101238.2(a) for the purpose of utilizing alternate schedules to accommodate the indoor capacity of 33 children

pg. 5

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2021
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: INGLEWOOD MONTESSORI - INFANT
FACILITY NUMBER: 197494821
VISIT DATE: 06/09/2021
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
26
27
28
29
30
31
32
*****Due to the pandemic this report was recorded at a later date. *****

A copy of this report will be electronically mailed to the applicant/director for review and signature. A read receipt shall confirm as receipt of the electronically delivered report.

Applicant/Licensee shall print and sign the report and mail it with the original signature to the assigned licensing office.

If there are any questions or concerns, please contact the department at (424) 301-3077

The next page are relevant updates related to Child Care Centers and Family Day Cares

pg. 6

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: INGLEWOOD MONTESSORI - INFANT
FACILITY NUMBER: 197494821
VISIT DATE: 06/09/2021
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
26
27
28
29
30
31
32
Licensee/Applicant was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
Licensee/Applicant was advised that regulation prohibits the smoking of tobacco in a private residence licensed as a family childcare home during the hours of operation.
Licensee/Applicant was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and to never shake a baby to prevent the Shaken Baby Syndrome.
Applicant was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.
The "Notification of Parent's Rights" (PUB394) was discussed with the licensee and the licensee was advised that it must be posted in an area of the home accessible to parents.
Licensee/Applicant was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects to disseminate information on the State’s licensing role, provide information to the public and parents on childcare licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541; Email Address: childcareadvocatesprogram@dss.ca.gov
Also, discussed was; Commencing September 1, 2016, SB 792, 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. Exemption were also discussed Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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 pg.7
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
LIC809 (FAS) - (06/04)
Page: 7 of 7