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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011043
Report Date: 11/13/2019
Date Signed: 11/13/2019 04:10:34 PM

COMPREHENSIVE INSPECTION
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:TELSTAR MONTESSORI CHILD CARE CENTERFACILITY NUMBER:
198011043
ADMINISTRATOR:LISA LARESFACILITY TYPE:
830
ADDRESS:9320 TELSTAR AVENUETELEPHONE:
(626) 569-2640
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY:15CENSUS: 13DATE:
11/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Ana B. Villalpando, DirectorTIME COMPLETED:
01:00 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
Licensing Program Analyst (LPA) Mireya Garcia conducted an unannounced Annual Random inspection. LPA met with Ana B. Villalpando, Director, who guided analyst on tour of the facility. This is an infant program which consists of one (1) classroom; RM: The Caterpillars (0-24 months). Facility operation hours are Monday to Friday from 6:30 AM to 6:30 PM.

All areas identified on this report were inspected. Upon entering The Caterpillars room at 8:53 a. m., the following staff were present during this inspection: RM: The Caterpillars: Staff #1, #2 and #3 with 13 infants (0-24 months). LPA determined that the facility was out of ratio as there were thirteen (13) infant children under the care and supervision of three (3) teachers. Per Director, one (1) teacher called out sick today and back up teacher is on her way. At approximately 9:05 a.m., LPA observed Staff #4 arrived to the Caterpillars room at this time the facility was observed to be in compliance with the staff-infant ratios. The following was observed during the tour of facility:

PHYSICAL PLANT


Furniture and equipment was inspected for age appropriateness and observed to be free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Infants have their own cubby to store their belongings. LPA observed toilet in restroom is currently not in operable condition (not flushing). Per Director, the toilet is currently not being used due to all infants in care are in diapers however, a service call will be placed to ensure toilet is in operable condition. Age appropriate sinks were inspected for availability, good repair, water temperature, area safety and sanitation. All floors are clean and safe.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director states that there are no poisons stored at the facility.

REPORT CONTINUES ON THE NEXT PAGE 1 OF 4

SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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 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: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/13/2019
Section Cited

1
2
3
4
5
6
7
101416.5- Staff-Infant Ratio:(b) There shall be a ratio of one teacher for every four infants in attendance.
8
9
10
11
12
13
14
This requirement is not met as evidenced by LPAs observation and interview with Director LPA determined that the facility was out of ratio as there were thirteen (13) infant children present under the care and supervision of three (3) teachers. This poses an immediate health and safety risk to children in care
8
9
10
11
12
13
14
Per, Director she will attend Step II Operations and Record Keeping Orientation on 12/19/2019 from 8:30 a.m - 1pm at the MPRO located at 1000 Corporate Center Dr Monterey Park CA 91754. Director will submit copy of proof of attendance certificate to LPA Garcia upon completion.

1
2
3
4
5
6
7

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: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2019
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: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
VISIT DATE: 11/13/2019
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
LPA advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. UPDATE: Parent’s Rights Poster (with complaint hotline) was provided to the Director during this inspection. LPA provided an English and Spanish copy of the following documents about SIDS: A Child Care Provider’s Guide to Safe Sleep from the American Academy of Pediatrics and PIN 19-02-CCP- Safe Sleep Awareness Campaign.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to LIC809D for documentation of deficiencies cited.

A copy of this report must be provided to the authorized representatives of all currently enrolled children and must also be provided to newly enrolled children for the next 12 months. The report shall be provided no later than the next business day or the next day the child is in care.

The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. Web site address to obtain forms, review quarterly updates, review Title 22 & Health & Safety Codes is: www.ccld.ca.gov.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in a visible location for the authorized representatives of children.

Exit interview was conducted with Ana B. Villalpando, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

REPORT ENDS -PAGE 4 OF 4------------
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
VISIT DATE: 11/13/2019
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
FACILITY RECORDS
Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Inspection of required forms made.

LPA issued a copy of the Children’s Record Review (LIC 857) and the Review of Staff records (LIC 859) to the Director during this inspection. The LIC 857 and the LIC 859 documents the children’s files and the staff files that were reviewed during this inspection.

Children's roster was reviewed and is current. Children present were signed in. Disaster drill log was available, last drill was conducted on 10/17/19.

Menus are posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Meals are provided by the facility. Bottles, dishes, and containers were labeled with infants’ names; dates were visible on all children's bottles and other refrigerated items.

LPA Garcia advised Director Ana Villalpando that the infants need to be within the direct care and supervision, including visual supervision, of the teacher(s) and supervising staff at all times. The facility shall ensure that each infant is never left unattended and is under the direct visual supervision of a staff person at all times.



Incidental Medical Services (IMS) policy was discussed. At this time, the facility does not have any children enrolled that require Incidental Medical Services – IMS. However, the facility will provide Incidental Medical Services if needed to children enrolled. 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

REPORT CONTINUES ON THE NEXT PAGE 3 OF 4
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
LIC809 (FAS) - (06/04)
Page: 3 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: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
VISIT DATE: 11/13/2019
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
Food preparation areas were toured for safety, cleanliness and proper equipment. Food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Drinking water is readily available both indoors and outdoors.

A first aid kit is kept in the classroom. Carbon monoxide detector and smoke detectors are present in the facility and are in operable condition. Fire extinguishers were serviced in October 4, 2019.

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, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Play area was inspected for hazards and inaccessibility to bodies of water. No hazards or bodies of water observed.

INFANT PROGRAM
Infant changing tables have a padded surface no less than one inch thick and are covered with washable vinyl and the changing table has raised sides at least three inches high. Toys were observed to be clean and safe. Infant napping equipment and cribs were observed. Infants bring their own bedding materials which are sent home at the end of each week to be laundered. Indoor activity space for this infant program is physically separate from the other components at this facility.

Teacher-infant ratios were observed and determined to be out of ratio; staff names recorded. Care and supervision was evaluated to determine if the basic needs of infants are met and appropriate. Personal Rights of infants were observed by LPA. Infant Needs and Services Plan are on file for each infant. Infant Needs and Assessments are done quarterly. Individual Feeding Plans are on file for each infant. Teachers present have proof of the required infant units on file and meet the qualification requirements.

REPORT CONTINUES ON THE NEXT PAGE 2 OF 4
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2019
Section Cited

1
2
3
4
5
6
7
101439-Infant Care Center Fixtures, Furniture, Equipment and Supplies:
(g) Furniture shall be maintained in good repair and safe condition
8
9
10
11
12
13
14
This requirement is not met as evidenced by LPAs observation and interview with the Director that the toilet in the restroom is currently not in operable condition (not flushing). This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

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: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2019
LIC809 (FAS) - (06/04)
Page: 6 of 6