198013166-4-23-2021-33-CC-AGOK-C2CQ4S-20210423115050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013166
Report Date: 04/23/2021
Date Signed: 04/23/2021 11:52:15 AM

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: 0	DATE:	04/23/2021
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Megha Sahni		TIME COMPLETED:	11:15 AM

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 announced Informal Office Meeting was conducted via Zoom video call, due to COVID-19 preventative measures, on this date with Licensee Esmat Arastu and Director Megha Sahni. In attendance was Licensing Program Analyst (LPA) Alanna Gontarek and Licensing Program Manager (LPM) Claudia Guangorena. The purpose of the informal meeting was to discuss the following items: 101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. 101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative and 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons and (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs and (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. Page 1 of 3

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2021

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: 04/23/2021

NARRATIVE

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*On 4/9/2018: Type 'B' citation for Facility staff failed to notify parents of incident (police on-site several times) and Type 'A' citation for Facility staff failing to meet the needs of the child (special needs/behavior issues).

*On 10/15/2018, substantiated complaints: Type 'A' citation for Unexplained injury and Type 'B' citation for (Reporting Requirements): Not notifying parents of injury.

*On 10/15/2018 (Substantiated Complaints): 3 Type 'A' citations for Staff being physically aggressive with children (grabbed child), Staff Isolating a child as a form of punishment, and Staff yelling at children in care (repeat violation from 10/2/18), and Type 'B' citation for not reporting child personal rights violation to CCL (repeat violation).

*On 10/19/2018: Type 'B' citations for Failure to provide parents Acknowledgement of Receipt of Substantiated complaint report and Case Management deficiencies report.

*On 1/14/2019, facility received a 'Type B' violation for personal rights: children were sent home in dirty and/or tight diapers.

*On 9/14/2020, an incident was not reported timely of unexplained injury, not requiring medical- supervision issue.

*On 9/16/2020, Complaint Received- Type 'A' citation for lack of supervision resulting in scratches on a child's body.

*On 11/18/2020, Type 'B' citation for Reporting Requirements for reporting child injury to CCL 14 days late for child sustaining injury.

* Technical Support Program (TSP) referral submitted 12/14/20.

A copy of Title 22 Regulations with regards to Reporting Requirements, Responsibility for Providing Care and Supervision, and Personal Rights, along with a copy of the LIC624 Unusual Incident Report was explained and provided to Licensee and Director via email.

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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: 04/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2021

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: 04/23/2021

NARRATIVE

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The following was discussed with the Licensee:

1. The licensee was advised that it is her responsibility to know & understand the requirements of Title 22 Regulations.
2. The licensee's facility must be in compliance at all times.
3. The licensee was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, educational/training videos, forms and regulations.
4. Staff training will be conducted for Title 22: Personal Rights, Reporting Requirements, and Care and Supervision.
5. Staff attending Step 2 for training purposes.

Exit interview was conducted with Licensee Esmat Arastu and Director Megha Sahni, whom are in agreement with the above. An electronic read receipt confirms receipt of the reports. The licensee 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 9099 reports, originals forms, to LPA by mail to the office.

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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: 04/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2021

LIC809 (FAS) - (06/04)

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