197750070-10-4-2019-30-CC-JSIS-BGMRGC-20191004130030

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197750070
Report Date: 10/04/2019
Date Signed: 10/04/2019 01:01:56 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:	GRANADA HILLS MONTESSORI PRESCHOOL		FACILITY NUMBER:	197750070
ADMINISTRATOR:	VILLALOBOS, GLADYS		FACILITY TYPE:	850
ADDRESS:	11451 WOODLEY AVE		TELEPHONE:	(323) 767-4517
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	60	CENSUS: 0	DATE:	10/04/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Noesh Hordagoda		TIME COMPLETED:	01:15 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	Licensing Program Analysts (LPA's) Sims and Lawson met with Owner Noesh Hordagoda, Director Gladys Villalobos, and Consultant Robert O'Connor, for the purpose of conducting a Pre-Licensing inspection for a Pre-School program. This center is located on a the same property as Wellspring Church. The Preschool has a gated entrance with code and doorbell. Parents will be provided the gate code upon enrollment. Center will utilize traditional student sign in and sign out. LPAs were led on a tour of the center which consist of 2 classrooms and two outside areas. The hours of operation: Monday through Friday 7:00 AM to 6:00 PM. During this Pre-Licensing inspection, LPA's measured 2 classrooms and the outside play area. Measurements were as follows: Classrooms: Classroom #1: 22 X 38.11 = 887.48/35 = 25.37 Classroom #2: 39.00 X 22.82 = 890.06/35 = 25.43

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 369-2168
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: GRANADA HILLS MONTESSORI PRESCHOOL	FACILITY NUMBER: 197750070
	VISIT DATE: 10/04/2019

NARRATIVE

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**Classrooms are equipped with age appropriate furniture, equipment, toys and materials. The classrooms were observed to be clean and safe and free of any Health or safety hazards. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings are kept in cubbies in the classrooms. Drinking water is available inside the classroom in the form of a water pitcher and disposable cups.

**The children's bathrooms are located near the front office. There are two bathrooms, the boys bathrooms contains 2 urinals, 4 toilets and 2 sinks. The girls bathroom has 4 toilets and 2 sinks. There are two additional sinks located in each classroom. The staff rest-room is located outside of main office. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and paper towels readily available. Toilets and sinks are functioning properly and age appropriate.

**The Directors office will be used as an isolation room and the staff bathroom will be used as an isolation bathroom.

**Each classroom stores stackable cots, linens and bedding will be stored individually so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding. Each cot will be equipped with a sheet to cover the cot, bedding and linens will be laundered by the parents every Friday or as needed. Flooring was inspected for cleanliness, and good repair.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 369-2168
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: GRANADA HILLS MONTESSORI PRESCHOOL	FACILITY NUMBER: 197750070
	VISIT DATE: 10/04/2019

NARRATIVE

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**Outdoor play equipment was inspected for health, safety, good repair and age appropriateness. Center utilizes wood chips under climbing structure for cushioning material there is an area for shaded rest. There are Little Tyke climbing structures, bikes, scooters, and a handball court. LPA's observed the fencing surrounding the play area to be at least 6 ft tall to protect children and to keep them in the outdoor activity area, the gate was locked during this inspection. Also present was a blacktop and dirt area. Staff will bring drinking water outside for children (water pitcher and disposable cups). There are no bodies of water observed on the premises.

**Food preparation area/Kitchen (shared with Church) was inspected for safety, cleanliness, proper equipment & protection against contamination and storage. Center uses one side of the refrigerator and some cabinets. Center will provided two snacks, parents will supply breakfast and lunches for their children. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children were stored and inaccessible to children

**The Parent Board (located in each of the classrooms) contained all documents that are required to be posted according to Title 22 Regulations. Staff are certified in Pediatric CPR and First Aid (exp 11/29/21).

LPA observed a fully stocked first aid kit; fully charged fire extinguishers; carbon monoxide detectors throughout the center. Fire Drill/Earthquake log is posted. Director is designated to dispense medications as needed.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 369-2168
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: GRANADA HILLS MONTESSORI PRESCHOOL	FACILITY NUMBER: 197750070
	VISIT DATE: 10/04/2019

NARRATIVE

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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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm - Center will not provide IMS at this time.

§1596.8662 On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant 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. - Certificates in file.

§1596.7995 (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care 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. - Staff have required Immunization's.

Mr. Hordagoda was advised that prior to working or volunteering in a licensed child care 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 9182.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 369-2168
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: GRANADA HILLS MONTESSORI PRESCHOOL	FACILITY NUMBER: 197750070
	VISIT DATE: 10/04/2019

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 Measurements: Back Yard: 99.00 X 23 = 2281/75 = 30 Front Yard: 188 X 49 = 9231.95 = 123 Classroom measurements = 50 Toilets and Sinks = 120 Outdoor Play Yard = 153 Fire Clearance = 60 Requested Capacity is 60 Capacity will be approved for 50, based on classroom measurements. Exit interview conducted and a copy of this report was left at the facility.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 369-2168
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

LIC809 (FAS) - (06/04)

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