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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750013
Report Date: 04/26/2023
Date Signed: 04/26/2023 11:51:49 AM


Document Has Been Signed on 04/26/2023 11:51 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:MONTESSORI OF NORTH PARKFACILITY NUMBER:
197750013
ADMINISTRATOR:JOHNSON, ERINFACILITY TYPE:
830
ADDRESS:28180 MCBEAN PARKWAYTELEPHONE:
(818) 974-3582
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY:34CENSUS: 20DATE:
04/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:Erin JohnsonTIME COMPLETED:
12:15 PM
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On 4/26/2023, Licensing Program Analyst (LPA) Carol Heath met with the Director, Rushani Thomas-Wise, to conduct an unannounced Annual/Random inspection for the infant program. LPA disclosed the purpose of the inspection and was granted entry to the facility. The operating hours of the infant center are Monday through Friday from 6:30AM to 6:30PM. There are three classrooms utilized for the infant license, which are Nido 1, Nido 2, and the infant napping room.
During today’s inspection, LPA observed 20 infants, 7 teachers in the Infant room. The center also has a Pre-School and School-age component. Incidental Medical Services (IMS) were discussed.
Physical Plant: Furniture and equipment were inspected for age appropriateness and good repair (highchairs and feeding tables have broad-based legs, highchair trays lock, high chairs are washable, changing table padding thickness in regulation and are within arm's length, seating table and chairs are age appropriate). There are no walkers on the premise. The bedding is changed daily (washed). The bedding is stored separately and properly inside the cubbies. Floor mats and cots (stored in a locked area) were observed. Used diapers are put in a trash (diaper pail) container with a lid underneath changing table. Each child will have (already in Infant #1 room) a container labeled (photo and name) with personal items. The infant room is clean and safe. There is a bathroom with one toilet.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:
DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI OF NORTH PARK
FACILITY NUMBER: 197750013
VISIT DATE: 04/26/2023
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There is a sink (age appropriate) near the changing area for children. Sanitation solution not accessible to infants (under the sink with lock). Age-appropriate cribs, cots, changing tables, and feeding chairs were observed to be clean and in good repair. The staff bathroom is located in the front. Cots are available for napping. The director states they are sanitized daily (bleach & water), and linens are also washed and changed daily. They are stored separately within separate cubbies. Sign in and Out sheets were reviewed.
LPA observed 17 cribs. The director states there are 4 used as evacuation cribs. LPA observed staff wearing disposable booties in the infant room. Both rooms’ disinfectants, cleaning solutions, poisons, and other items that are dangerous or hazardous were inaccessible to children and stored by magnetic locks in cabinets.
The licensee maintains the temperature in rooms that children occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C).
LPA observed the first-aid supplies in a location accessible to staff but inaccessible to children. LPA advised the director the following supplies need to be in each First Aid backpack: (1) A current edition of a first-aid manual. (2) Sterile first-aid dressings. (3) Bandages or roller bandages. (4) Adhesive tape. (5) Scissors. (6) Tweezers. (7) Thermometer. (8) Antiseptic solution.
The outdoor: The outdoor play equipment was inspected for health, safety, good repair, and age appropriateness. All equipment is securely anchored to the ground. There is a grass and concrete area for active play. The area was observed to be free of debris. There were no bodies of water observed in the playground area. The playground was observed to be properly gated all around. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness.
The walking infants have their own playground area, which consists of two swings, a small jungle gym, and a garden. Infants are provided with blankets when taken to the playground. The director indicated no milk is taken outside, only water cups. The playground area has a shaded rest area for the infants.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI OF NORTH PARK
FACILITY NUMBER: 197750013
VISIT DATE: 04/26/2023
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Care and Supervision: Center was found to be operating within its specified ratio and capacity. LPA observed 7 teaching staff with 20 infants. LPA observed children and contained emergency contact information. The sleeping log was reviewed. The staff did follow Safe Sleep Regulation to conduct 10-15 minute checks. All infants have an Individual Infant Sleeping Plan (LIC 9227) in their file.
Staff Records/ Children Records: Children's records and staff records were reviewed. LPA verified there is at least 1 staff person present with current CPR and First Aid Training (exp. 2024). All staff completed the Mandated Reporter training every 2 years. All staff receives Measles, Pertussis, and Influenza vaccination. All staff has required fingerprinting associated with the facility.
LPA observed 10 children's files contained all required licensing documents.
Food Service: There were no bodies of water observed in the playground area. The outdoor playground was inspected and was observed to be free of hazards, loose and sharp parts. The playground was observed to be properly gated all around. Equipment was inspected for safety, cushioning material, good repair, and age appropriateness. LPA observed bottles labeled with the infant's names and current date. Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies.

Other:

·Telephone service, heating, lighting, and ventilation were evaluated.


· The isolation area for sick children is located in the Director’ office.

· A review of medication policy indicated that prescription medication is administered only with the parent's written permission. The Director and other administration staff administer medication and document the dosage, date, and time on a log. Medication is brought and taken home by the parent daily. Medication is properly labeled and stored in its original container.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI OF NORTH PARK
FACILITY NUMBER: 197750013
VISIT DATE: 04/26/2023
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The incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. The Center does not provide IMS at this time.

Mandated Reporter Training Requirements: §1596.8662 - As of January 1, 2018, childcare providers, administrators, or employees who work in a licensed facility shall complete the mandated reporter training provided according to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

Immunization Requirements: §1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a daycare center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.



All Licensing reports are available for review online and are considered public information. Summary: Assembly Bill 2621 added Section 1596.819 to the Health and Safety Code, to require the Department to post certain licensing information for CCCs and FCCHs on its public internet website.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI OF NORTH PARK
FACILITY NUMBER: 197750013
VISIT DATE: 04/26/2023
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Fingerprint clearances and transfers: Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. If a fingerprint clearance has been obtained through the Department, Licensee may request a transfer of a criminal record clearance from one state-licensed facility to another using form LIC 9184
Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of the report documenting a Type A Citation and sign form LIC 9224 acknowledging receipt. Staff is aware of the required forms for children's files and forms that shall be posted after licensure.

Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements


Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed childcare facility are aware of situations that present the greatest danger to children.

Parent Board contained all documents that are required to be posted according to Title 22 Regulations.
No deficiencies are being cited at this time, the facility complies with Title 22


Exit interview conducted with Director. A copy of this report is discussed and left with the director, Rushani Thomas-Wise
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023
LIC809 (FAS) - (06/04)
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