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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002864
Report Date: 08/22/2019
Date Signed: 08/22/2019 02:20:24 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MONTESSORI CHILDREN'S WORLDFACILITY NUMBER:
198002864
ADMINISTRATOR:PIERIS, NILOUFERFACILITY TYPE:
850
ADDRESS:4371 EAGLE ROCK BOULEVARDTELEPHONE:
(323) 256-2215
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY:75CENSUS: 21DATE:
08/22/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Niloufer PierisTIME COMPLETED:
02:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced Annual random inspection. LPA met with designated facility Director, Niloufer Pieris, who guided LPA on a tour of the facility. This is a preschool age program with an attached toddler component, licensed for 75 children. Maximum toddlers permitted is 15 and Maximum 60 preschoolers. The components are conducted in physically separate areas indoors. The facility operates Monday – Friday from 6:30 AM – 6:00 PM. Per the Director there are 21 children enrolled. Per Director, there are waivers on file for restrooms and outdoor activity space. Waivers were not observed to be posted. Copies of waivers do not match facility license number. Upon arrival, LPA also observed that the facility does not have the license number on advertisements posted outdoors as required.

All areas identified on the facility sketch were inspected. Upon arrival, LPA observed 16 children with 02 staff in the pre-school room and 05 children with 01 staff in the Toddler Room. Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher at all times. During staff file review, LPA observed that the teacher present in the toddler room does not have transcripts on file showing infant/toddler units as required.

Furniture and equipment was inspected for good repair, free of sharp, loose, or pointed parts. LPA observed a changing table in the toddler room that is not within an arms reach of a sink; this is a potential risk to the health and safety of children in care. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in sanitary operating conditions, however LPA observed a hole in the wall of one of the stalls; this is a potential risk to the health and safety of children in care. All materials and surfaces accessible to children are toxic free. At this time, the office is used as an isolation area. There are chairs in the office.

*REPORT CONTINUES ON NEXT PAGE

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 198002864
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/02/2019
Section Cited
CCR
101216(g)(2)
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Personnel Requirements
Each person shall have a health-screening report signed by the person performing the screening.
This requirement was not met as evidenced by staff file review. Staff #2 does not have a health screening on file. This is a potential risk to the health and safety of children in care.
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Director states the staff will complete the health screening report and Director will submit a copy to LPA by 09/02/19.
Type B
09/02/2019
Section Cited
CCR
101416.2(b)
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Infant Care Teacher Qualifications and Duties
Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semester or equivalent
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Director states she will hire an additional staff with Toddler/Infant units and submit proof to LPA by POC due date of 09/02/29.
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quarter units related to the care of infants, at an accredited or approved college or university.
This requirement was not met as evidenced by the LPA observing during staff file review that the teacher present with toddlers does not have infant/toddler units. This is a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 198002864
VISIT DATE: 08/22/2019
NARRATIVE
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Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative.

The facility provides AM snack and PM snack. Children bring their own lunches. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and LPA inspected that any contaminated food is discarded immediately.

There is drinking water available in all indoor classrooms and drinking containers / jugs are taken outdoors. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. Storage areas for poisons are locked. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. The licensee takes measures to keep the facility free of flies, other insects and rodents.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Areas around and/or under climbing equipment, swings and slides have cushioning material to absorb a fall. Director states there are no weapons or firearms on the premises.

Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Staff Records were reviewed to ensure that a health screening report is on file. LPA observed that staff #2 did not have a health screening on file; this is a potential risk to the health and safety of children in care. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed.



SB792 Immunization Requirements for Staff and Employees was discussed with the Director. Not all staff have current immunization documentation. This is a potential risk to the health and safety of children in care.

*REPORT CONTINUES ON NEXT PAGE

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
LIC809 (FAS) - (06/04)
Page: 2 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 198002864
VISIT DATE: 08/22/2019
NARRATIVE
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The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

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, Niloufer Pieris. Appeal Rights and Procedures explained and provided.

*END OF REPORT

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
LIC809 (FAS) - (06/04)
Page: 6 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 198002864
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/02/2019
Section Cited
CCR
101439(h)(4)
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Infant changing tables shall:
While in use, be placed within arm's reach of a sink.
This requirement was not met as evidenced by LPA observing a changing table in the toddler room that is not within an arms reach of a sink; this is a potential risk to the health and safety of children in care.
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Director states she will purchase portable sink and place it next to changing table. Director states a photo will be sent to LPA by POC due date of 09/02/19.
Type B
09/02/2019
Section Cited
CCR
101238(a)
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Buildings and Grounds
The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement was not met as evidenced by LPA observing a hole in the wall of one of the stalls; this is a potential risk to the health and safety of children in care.
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Director states hole will be fixed and LPA will be sent a photo by POC due date of 09/02/19.
Type B
09/02/2019
Section Cited
HSC
1596.861 (a)
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License number; use in advertisements; publications, or announcements
Each child day care facility licensed under this chapter, Chapter 3.5 (shall reveal its license number in all advertisements, publications, or announcements made with the intent to attract clients.
This requirement was not met as evidenced by LPA observing upon arrival that none of the school signs outdoors have a license number posted. This is a potential risk to the health and safety of children in care.
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Director states she will let owner know about license # and LPA will be sent a photo by POC due date of 09/02/19.
Type B
09/22/2019
Section Cited
HSC
1596.7995(c)
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Immunization's
The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person’s personnel record that is maintained by the day care center.
This requirement was not met as evidenced by staff file review. LPA observed that 2 staff do not have documentation on file. This is a potential risk to the health and safety of children in care.
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Director states she will send LPA copies of documentation by POC due date of 09/22/19.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 198002864
VISIT DATE: 08/22/2019
NARRATIVE
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AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: https://www.mandatedreporterca.com/training/child-care-providers. All staff have completed the training, certificates are on file.

LPA observed the LIC 610, Emergency Disaster Plan to be outdated. LPA requested that LIC 610, LIC 308, Designation of Responsibility, LIC 309 Administrative Organization and LIC 500 Personnel Summary Report be submitted to the Monterey Park Regional Office to update facility file.

Incidental Medical Services (IMS) policy was discussed. Per Director there are no children on medication. 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

During this inspection, LPA discussed the incident report that was received on 02/07/18. Child #5 was injured at the facility. Per Director, child #5 is no longer enrolled at the facility due to starting public school. Staff was unable to find file at time of inspection. LPA advised Director, if any additional information is needed the Department will request it.

REMINDER: Failure to obtain a criminal record background check clearances prior to initial presence in the facility will result in an immediate $100.00 dollar or more per day Civil Penalty.



The licensee’s email address was obtained during this visit. The licensee was advised that email is public information.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

*REPORT CONTINUES ON NEXT PAGE

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
LIC809 (FAS) - (06/04)
Page: 3 of 6