198013166-12-3-2020-33-CC-AGOK-BVY34J-20201203165514

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013166
Report Date: 12/03/2020
Date Signed: 12/03/2020 04:56:06 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:	MONTESSORI ACADEMY OF LA PUENTE		FACILITY NUMBER:	198013166
ADMINISTRATOR:	MEGHA SAHNI		FACILITY TYPE:	850
ADDRESS:	846 N. ORANGE AVENUE		TELEPHONE:	(626) 917-3638
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	138	CENSUS: 28	DATE:	12/03/2020
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	04:15 PM
MET WITH:	Megha Sahni		TIME COMPLETED:	05:00 PM

NARRATIVE

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An unannounced Case Management tele visit was conducted by Licensing Program Analyst (LPA) Alanna Gontarek via the FaceTime Application due to COVID-19 preventative measures. LPA met with Director Megha Sahni and was guided on a virtual tour of the facility. Census was taken. The purpose of this tele visit is to issue a citation for violation observed on 11/12/2020.

On 11/12/2020, LPAs Alanna Gontarek and Michelle Sanchez observed the following: At 10:26 a.m., during the tour of the main kitchen/ food preparation area, LPAs observed milk sitting out on a cart that was not being refrigerated. LPAs also inspected the refrigerator and food cabinets and observed: expired ketchup, 2 large containers of pasta sauce, expired cereal, 7 packs of expired bread, 2 packs of expired tortillas, expired mini pretzels, and expired bagels. Photos were captured.

LPAs were informed snacks are ordered per teachers’ requests and teachers are responsible for checking the expiration dates when preparing the snacks and when cleaning out the refrigerator. LPAs also advised Director to have each teacher return snacks and milk to the proper storage immediately after being served.

The following was observed and is being cited in accordance to Title 22 of the California Code of Regulations and Health & Safety Codes.

Facility is being cited for expired food and milk. Director removed the expired items during the visit.

Please refer to 809D for documentation of deficiencies.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

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: MONTESSORI ACADEMY OF LA PUENTE	FACILITY NUMBER: 198013166
	VISIT DATE: 12/03/2020

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An exit interview was conducted with Director at 4:18 p.m. A copy of the report (LIC 809), deficiency report (LIC 809D), Appeal Rights (LIC 9058), and the Notice of Site Visit (LIC 9213) were explained and sent via Email to Director. An electronic read receipt confirms receipt of the reports. The Director was provided with the mailing address to the Monterey Park Regional Office (1000 Corporate Center Drive, Suite 200B, Monterey Park, CA 91754) and agrees to send a copy of the signed LIC 809 reports by email to LPA and mail original forms to the office. The Notice of Site Visit (LIC 9213) shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
LPAs provided a notice of site visit and Director was advised to keep notice posted for 30 days.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

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: MONTESSORI ACADEMY OF LA PUENTE	FACILITY NUMBER: 198013166
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/03/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/07/2020 Section Cited	1 2 3 4 5 6 7	101227 (a)(8) Food Service: (a) In child care centers providing meals to children, the following shall apply: (8)Commercial foods shall be...stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: LPAs observed milk sitting out for an extended period of time and LPAs observed expired food in refrigerator and cabinets. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14	taken out of their original packaging and stored in containers. Per Director, snacks will be ordered weekly and food expiration dates will be checked then as well.
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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: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2020

LIC809 (FAS) - (06/04)

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