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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002033
Report Date: 10/05/2022
Date Signed: 10/05/2022 01:27:24 PM


Document Has Been Signed on 10/05/2022 01:27 PM - 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:MARINA MONTESSORI SCHOOLFACILITY NUMBER:
198002033
ADMINISTRATOR:CANDYCE BRIZZOLARAFACILITY TYPE:
850
ADDRESS:2301 XIMENO AVETELEPHONE:
(562) 494-4641
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:45CENSUS: 36DATE:
10/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Candyce BrizzolaraTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Case Management Incident inspection. LPA met with Candyce Brizzolara who assisted with the inspection. The purpose of this inspection is to observe areas that were notated on a recent fire inspection. Note: These areas are not associated with the preschool and physically separate and off limits.

LPA observed a kitchen and sanctuary area (on the North side of the building) that is separate from the preschool. The area is off limits to the preschool and is not in use (except for long term storage space). LPA toured the areas and observed no pest, rodents or hazards that affect the preschool at this time.

However, LPA informed Director Brizzolara to ensure that the north side kitchen and sanctuary areas continue to remain inaccessible and off limits. LPA also advised Director to not store pet food or perishable items in those areas as it may attract pest (especially since the area is dark and goes unused for long periods of time). Director Brizzolara indicated that the facility uses a pest control service monthly and provide documentation.

During the inspection LPA also conducted an inspection of the actual preschool and observed the preschool appearing to be clean, safe and free of hazards.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director Candyce Brizzolara..
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 10/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/05/2022
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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