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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009548
Report Date: 10/03/2019
Date Signed: 10/03/2019 03:47:47 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:LA CRESCENTA MONTESSORIFACILITY NUMBER:
198009548
ADMINISTRATOR:GIRLIE AMARASINGHEFACILITY TYPE:
830
ADDRESS:3811 FOOTHILL BLVD.TELEPHONE:
(818) 249-5437
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:14CENSUS: 7DATE:
10/03/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:21 PM
MET WITH: Girlie AmarsingheTIME COMPLETED:
04:02 PM
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Licensing Program Analysts (LPAs) Justin Dorsey and Bardo Baluyot conducted an unannounced Annual Random Inspection. LPA met with Girlie Amarsinghe, Director, who guided LPA on a tour of the facility. Licensee also has an pre school (#198013375) and Kindergarten which operates on the same grounds.

LPA inspected all areas identified on the Facility Sketch. The following staff were observed in the classroom during this visit: Infant Classroom: Staff #1 and Staff #2 with 8 children.

Students have access to the classroom, napping area, eating area and outdoor play area. Students of the program are signed in at the main entrance of the infant center by parents. This Facility does not provide transportation. Furniture and equipment were inspected for age appropriateness, good repair and is free of sharp, loose, or pointed parts. LPA observed cribs, changing table and feeding chairs to be operational condition. There is a sink located next to changing table. Indoor classroom was inspected to ensure that the floors have a surface that is safe and clean. There is telephone service, heating, lighting and ventilation available at the facility. The room next to the Directors office has been designated as an isolation area. Per Director the infants use the couch, there is no crib available in this area. Drinking water is available indoors and outdoors.

The kitchen, which the students don't have access to near the eating area. The facility provides AM and PM snack, lunch is provided by the parents. Containers used to discard food have tight fitting lid at this time. Snack menus were posted in the kitchen. Snacks were reviewed for availability, quantity and appropriateness to children in care. Poisons are locked in a cabinet. Cleaning compounds and sharp items are inaccessible.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019
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 3
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: LA CRESCENTA MONTESSORI
FACILITY NUMBER: 198009548
VISIT DATE: 10/03/2019
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Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Per Director the tree on the playground provide shade at all times.
LPA observed that staff have current First Aid and CPR (Expires 08/2021). Staff have met all immunization requirements. Ratios were observed to be in compliance. First Aid supplies are available. Disaster drills are documented and all posting requirements have been met.

****LPA gave Director a handout with information on safe sleep during visit.

The licensee states that there is 1 child enrolled that requires IMS at this time. The facility has no IMS plan on file. Per Director a IMS plan will be made with LPA Dorsey. LPAs observed the child had a note from a physician on how medication should be administered in his file and in the classroom LPA Dorsey verified medication was inaccessible to children in care and stored properly.

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


LPA advised how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. Also, discussed new requirements for providers, including mandate reporting training for staff which can be found at: http:/www.mandatedreporterca.com/training /training.htm. This is a new regulatory requirement beginning January 2018. According to staff, training has been completed through Community Care Licensing. Please review all elements outlined in AB 1207- Mandated Reporting Training.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LA CRESCENTA MONTESSORI
FACILITY NUMBER: 198009548
VISIT DATE: 10/03/2019
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No deficiencies were cited in accordance with California Code of Regulations Title 22. 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 reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Director Girlie Amarsinghe, The Notice of Site Visit and Appeal Rights were given.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3