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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013375
Report Date: 07/10/2023
Date Signed: 07/10/2023 11:15:27 AM


Document Has Been Signed on 07/10/2023 11:15 AM - 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:LA CRESCENTA MONTESSORIFACILITY NUMBER:
198013375
ADMINISTRATOR:AMARASINGHE, GIRLIEFACILITY TYPE:
850
ADDRESS:3811 FOOTHILL BOULEVARDTELEPHONE:
(818) 249-5437
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:45CENSUS: 11DATE:
07/10/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Yvette Roy, TeacherTIME COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case- management inspection to the above facility on 07/10/23 at 8:20 am. LPA met with Yvette Roy, Teacher who guided LPA on a tour of the facility. During this inspection director, Girle Amarasinghe was present in the facility. During this inspection there were total of 11 children present in the facility.

During this inspection LPA Eivazian observed teacher Yvette Roy had total of 6 children on the toddler outdoor playarea and at 10:00 a.m. they went inside the toddler classroom. Per teacher Roy, three children were toddlers and three children belong to preschool PreK classroom. Also, LPA observed 5 children were present in the Elementary/Kindergarten classroom with teacher, Karen Isidro. LPA observed 5 present children in Elementary classroom were 4 to 6.5 years old.

On 07/10/23 between 8:20 a.m. and 11:30 a.m., LPA Eivazian observed toddlers (18-36 months old) children were co-mingling with preschoolers in toddler classroom and in elementary classroom, elementary children were co- mingling with preschoolers in elementary classroom.

The following are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 809D for cited deficiencies.



LPA Eivazian informed teacher, Yvette Roy that this report dated 07/10/23 documents 2 Type A citations. Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

REPORT CONTINUES ON NEXT PAGE 1 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2023
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


Document Has Been Signed on 07/10/2023 11:15 AM - It Cannot Be Edited

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: 198013375

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2023
Section Cited
CCR
101216.4(a)

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Preschool Program with Toddler Component
The toddler program shall be conducted in areas physically separate from those used by older or younger children. etc...
This requirement was not met as evidenced by...
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Per teacher, Roy she will discuss it with director, Girlie Amarashinghe and effective 07/11/23 toddlers will not commingle with preschoolers indoor and outdoor.
A written plan will be submitted to LPA Eivazian by 07/11/23 via email.
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On 07/10/23 from 8:20 AM to 11:30 AM LPA observed 3 toddlers were commingling with 3 preschoolers on toddler outdoor playarea and in toddler classroom. This poses an immediate health safety and personal right to the children in care.
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Type A
07/11/2023
Section Cited
CCR101538.3(b)

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Indoor Activity Space for school-age Children. In combination programs, indoor activity space provided for school-age child care center children shall be physically separated, etc...
This requirement was not met as evidenced by...
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Per teacher, Roy she will discuss it with director, Girlie Amarashinghe and effective 07/11/23 preschoolers will not commingle with elementary children indoor and outdoor.
A written plan will be submitted to LPA Eivazian by 07/11/23 via email.
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On 07/10/23 from 8:20 AM to 11:30 AM LPA Eivazian observed 3 preschoolers were commingling with 2 elementary children outdoor and indoor in elementary classroom. This poses an immediate health, safety and personal right risks to the children in care.
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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: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2023
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: 198013375
VISIT DATE: 07/10/2023
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Also, LPA Eivazian informed the teacher, Yvette Roy to provide a copy of this licensing report dated 07/10/23 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

The Notice of Site Visit (LIC 9213) 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 Teacher, Yvette Roy at 11:30 a.m..


REPORT END 2 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh EivazianTELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3