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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004486
Report Date: 12/16/2019
Date Signed: 12/17/2019 11:26:59 AM

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 ACADEMYFACILITY NUMBER:
198004486
ADMINISTRATOR:BIBILE, NIRANJALAFACILITY TYPE:
850
ADDRESS:1920 W. GLENOAKS BOULEVARDTELEPHONE:
(818) 846-5999
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY:85CENSUS: 39DATE:
12/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Angela BibileTIME COMPLETED:
02:00 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
A ANNUAL RANDOM INSPECTION WAS CONDUCTED IN ENGLISH

Licensing Program Analysts (LPAs) Ariel Cazares and Thelma Razo conducted an annual inspection on this date. LPAs met with Teacher Lusia Guevara as the director was not present upon arrival. There were a total of 39 children and 4 staff present. Director arrived shortly after. The facility operates Monday-Friday, 6:30am-6:30pm.

The facility was inspected indoors and outdoors. This facility consists of 3 classrooms and one playground. All classrooms were inspected for safety. Furniture, toys, and equipment was observed to be age-appropriate, clean, and in no need for repair. The facility was also evaluated comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. In the nook area near the children's restrooms, LPAs observed 3 drawers with hazards such as lighters, nails, and gardening shears. Napping equipment in form of cots was observed in the classrooms. Linens and bedding is sent home each Friday to be washed. LPAs observed drinking water in form of personal water bottles that can be refilled by the water pitchers. The carbon monoxide detector located in the kitchen was tested and found operational. The children's restrooms were inspected. The toilets and sinks were operational. The hot water is turned off, per director the temperature is too high for children and will need to request from the Church to adjust. The restrooms are stocked with necessary supplies such as soap, paper towels, and toilet paper. Restrooms were observed to be clean.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
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 4
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 ACADEMY
FACILITY NUMBER: 198004486
VISIT DATE: 12/16/2019
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
The outdoor playground was inspected. There was age-appropriate toys and play equipment for children. LPAs observed an awning that provides a shaded rest space. There is a functioning water fountain that can be accessed by children outdoors. Fencing was evaluated and found to be appropriate and no need for repair.

The director's office is used as the ill isolation area and a staff restroom is available. Medication can be stored in the kitchen on top of the fridge. Currently there are no children in care with medication needs. Staff and children's files, sign in and out sheets and rosters were reviewed. LPAs observed that of 39 children present, only 37 were signed in. Child #1 did not have a physician's report/medical assessment on file.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

LPAs reviewed postings on the parent board. The facility schedule shows only 1 snack being offered by the facility. LPA informed director that a full LPAs reviewed postings on the parent board. The facility schedule shows day program must provide 2 snacks. Snack menu needs to be updated as posted menu was from 2008.

See attached deficiencies page for citations in accordance with Title 22 California Code of Regulations.

Exit interview conducted with Director Angela Bibile. A copy of this report and appeal rights were provided and explained.

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.

*Due to computer error this electronic report could not be provided. A hard copy of the report was provided.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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 ACADEMY
FACILITY NUMBER: 198004486
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2019
Section Cited

1
2
3
4
5
6
7
The person who brings the child to, and removes the child from, the center shall sign the child in/out.
This requirement has not been met as evidenced by review of sign in/out sheets showing 2 children present on this date not signed in. This poses a potential risk to the health and safety of children in care.
Type B
12/23/2019
Section Cited

1
2
3
4
5
6
7
Full-day programs shall offer a midmorning and midafternoon snack.

This requirement has not been met as evidenced by review of daily schedule showing only one snack being offered. This poses a potential risk to the health and safety of children in care.
Type B
12/23/2019
Section Cited

1
2
3
4
5
6
7
Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days.
8
9
10
11
12
13
14
This requirement has not been met as evidenced by review of posted menu that is date with the year 2008. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
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: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 12/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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 ACADEMY
FACILITY NUMBER: 198004486
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2019
Section Cited

1
2
3
4
5
6
7
All children shall be protected against hazards within the center...

This requirement has not been met as evidenced by inspection of drawers in the nook/kitchenette area storing lighters, nails, and gardening shears.
8
9
10
11
12
13
14
 There were no latches on drawers to make inaccessible to children. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
Type B
12/31/2019
Section Cited

1
2
3
4
5
6
7
Medical assessment, including ambulatory status as specified in Section 101220...
This requirement has not been met as evidenced by review of Child #1's file finding that it is missing the physician's report or medical assessment. This poses a potential risk to the health and safety of children in care.

1
2
3
4
5
6
7
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: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 12/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4