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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007769
Report Date: 05/31/2023
Date Signed: 05/31/2023 12:24:44 PM


Document Has Been Signed on 05/31/2023 12:24 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:SUNSET MONTESSORI PRESCHOOLFACILITY NUMBER:
198007769
ADMINISTRATOR:KORDONSKAYA, LILIYAFACILITY TYPE:
850
ADDRESS:1432 N. SYCAMORE AVE.TELEPHONE:
(323) 465-8133
CITY:LOS ANGELESSTATE: CAZIP CODE:
90028
CAPACITY:39CENSUS: 10DATE:
05/31/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Lilya Kordonskaya, LicenseeTIME COMPLETED:
12:45 PM
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On May 31, 2023, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Required 1 year inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with licensee, Liliya Kordonskaya, who guided LPA on a tour of the facility. This is a preschool program licensed for 39 children which operates Monday – Friday from 8:00 AM – 5:00 PM. Per licensee there are currently 10 children enrolled. Upon arrival, LPA observed 10 children with 3 staff.

Teacher-child ratios were observed. All children were observed to be under visual supervision of a teacher at all times. The Licensee is not within the conditions, limitations, and capacity specified on the license.

Furniture and equipment was inspected to ensure that they are in good condition, free of sharp, loose or pointed parts. LPA observed that all indoor classrooms are clean and safe. All toilets and hand washing facilities are in safe and sanitary operating conditions. At this time, the office is used as an isolation area. There are chairs in the office. Parents are contacted immediately when children are determined to be ill. All materials and surfaces accessible to children are toxic free.

Snack menus were reviewed. The facility provides AM snack, after nap time and PM snack. The children bring their own lunches. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin.

There is uncontaminated drinking water available in all indoor classrooms and a water fountain is available outdoors. All storage containers used for solid waste, including moveable bins have tight fitting lid at this time and are in good repair.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible. Storage areas for poisons are locked. Outdoor play equipment was observed to be in safe condition, free of sharp loose or pointed parts.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2023
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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: SUNSET MONTESSORI PRESCHOOL
FACILITY NUMBER: 198007769
VISIT DATE: 05/31/2023
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The outdoor activity space was observed to be in a safe condition, and is free of hazards. Areas around and/or under climbing equipment and slides have wood chips as a cushioning material to absorb a fall. The licensee states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Per Director there are no weapons or firearms on the premises. There is a carbon monoxide detector on site that meets statutory requirements.

Sign in and out sheets were reviewed. This is a potential risk to the health and safety of children in care. Staff files were reviewed to ensure that each file contains a Personnel Record. Children’s Records were reviewed to ensure that each child has an Emergency and Identification form on file. Criminal Records Clearance for adults, Qualifications. LPA did not observe a current CPR/First Aid for staff.



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

AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Director. Website provided: http://mandatedreporterca.com/. Staff have not completed the training. This is a potential risk to the health and safety of children in care.

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.html

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.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
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: SUNSET MONTESSORI PRESCHOOL
FACILITY NUMBER: 198007769
VISIT DATE: 05/31/2023
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LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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 and/or the Health and Safety Code. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

An exit interview was conducted and a copy of this report was provided to licensee along with Notice of Site Visit.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 05/31/2023 12:24 PM - It Cannot Be Edited

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: SUNSET MONTESSORI PRESCHOOL
FACILITY NUMBER: 198007769

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/31/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day 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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in no staff gad a current Mandated Reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/16/2023
Plan of Correction
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Per licensee, all satff will complete the training by POC date.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in LPA did not observe any staff with a current First Aid and CPR training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/16/2023
Plan of Correction
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Per licensee, all satff will complete the training by POC date.
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: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4