198013131-5-4-2022-33-CC-CTUA-CE4RGL-20220504130055

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013131
Report Date: 05/04/2022
Date Signed: 05/04/2022 01:01:08 PM

Document Has Been Signed on 05/04/2022 01:01 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:	CROSSROAD MONTESSORI CHILD CARE CENTER		FACILITY NUMBER:	198013131
ADMINISTRATOR:	PANFILIA GONZALEZ		FACILITY TYPE:	830
ADDRESS:	12900 CROSSROAD PARKWAY SOUTH		TELEPHONE:	(562) 908-4413
CITY:	CITY OF INDUSTRY	STATE: CA	ZIP CODE:	91746
CAPACITY:	12	CENSUS:	DATE:	05/04/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Panfilia Gonzalez		TIME 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	An unannounced, Annual/Random inspection was conducted on this date by Licensing Program Analysts (LPAs) Carolyn Tuba and Bardo Baluyot. Upon arrival at 9:30 am, LPAs was greeted by Director Panfilia Gonzalez who was in the preschool classroom as she was assisting in the preschool. LPAs was led into the conference room and the reason for the inspection was stated to Director Panfilia Gonzalez, who later guided LPAs on a tour at 9:45 am to the Infant classroom. The census: Upon LPA's arrival in the infant room, there were 5 infants with two staffs, who was verified to be cleared and associated. All infants were signed in, on the Sign in log book placed in the lobby area. The Center's days and hours of operation are Mon.-Thurs. 6:45 AM. to 6:45 PM. and Friday : 7.00 AM to 5.00 PM Posting requirements: All posting requirements were observed on the Parent Boards. The license and the snack and lunch menu are posted on the Board in the lobby; the Personal Rights, Child Passenger Safety Law, and Notification of Parents Rights are posted on the Parent Board in front of the entryway of the door through which parents enter to get into the main part of the Center. Parents ring the bell obtain access into the center and the door is remotely opened by the staff. Physical Plant: Director, Panfilia Gonzalez guided LPAs on a tour of the infant room and playground. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings and an isolation area with a sink and toilet was inspected. Ill children will remain in the Administrator's office, which is located across the hall. Availability of drinking water was reviewed. Infants bring in their own milk/Formula/Snacks/ Baby food. It is stored in a separate refrigerator. The items are labelled. Infants have their individual bottles which are provided by the parents. All of the infants are still in diapers. The changing table is located within arm's-reach length of a sink.There is a carbon monoxide detector mounted on the wall directly outside of the Infant room; it was tested and is operable. Page 1 of 4

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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: CROSSROAD MONTESSORI CHILD CARE CENTER	FACILITY NUMBER: 198013131
	VISIT DATE: 05/04/2022

NARRATIVE

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The cribs are confirmed to comply with CPSC 16CFR 1220 based upon the Certificate of Compliance. Center is aware of the Safe sleep practice and 10 cribs were observed for the infants, they are arranged across the wall and per the Facility Administrator, Cribs are pulled out in the middle for staff to walk in-between and check the infants. Administrator was made aware of the required staff presence and supervision during napping time of the infants.

10:00 am Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. There is a grey outdoor cushion mats on the playground. The mats are underneath the plastic play structure. The infant teachers bring out the individual Sippy cups for drinking water. The playground is surrounded by a wall on all four sides and an additional metal fence is added with a plastic mesh to divide the play ground. The play area was inspected for hazards and inaccessibility to bodies of water. Required shade was observed. LPAs recommended to place an additional barrier mesh below the fence due to wide opening at the bottom. Director stated the toys are disinfected and washed on premises as needed by the staff towards the end of the day. Toys are washed with bleach and water, air dried and machine dried as needed.

Food Service: The Center serves breakfast, lunch, and PM. snack to children above age of 2 while infants bring in their own milk and baby food. The refrigerator in the Infant room was measured at 41 degrees, though nothing is stored in this refrigerator except the food / milk brought in by the infants.

This facility doe not provides Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 www.ada.gov/childqanda.html. The infants do have their own First Aid supplies; The First Aid Kits were inventoried for quantity and expiration date. There is one First Aid Kit in the Administrator's office also. A review of medication policy, including administering, labeling, storage, and records was made. There are currently no infants on medication.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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: CROSSROAD MONTESSORI CHILD CARE CENTER	FACILITY NUMBER: 198013131
	VISIT DATE: 05/04/2022

NARRATIVE

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Transportation: This facility does not provide transportation for infants.
An Emergency Disaster Drill log is kept. The last fire drill was conducted on 04/22/2022. Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met appropriately. Per Director, there are currently no firearms or weapons on the premises.
File review: There are six infants currently enrolled. There are two main staff who assist in the infant room. A random sampling of 5 infant's files and the five staff files were reviewed for completeness, including, but not limited to Criminal Record Clearances for adults and verification of CPR/First Aid and health preventive practices documentation.
Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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: CROSSROAD MONTESSORI CHILD CARE CENTER	FACILITY NUMBER: 198013131
	VISIT DATE: 05/04/2022

NARRATIVE

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No Deficiencies during today's visit were cited in accordance to Title 22 of the California Code of Regulations.
A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Panfilia Gonalez along with the Appeal Rights.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

LIC809 (FAS) - (06/04)

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