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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018356
Report Date: 09/01/2022
Date Signed: 09/01/2022 06:12:54 PM


Document Has Been Signed on 09/01/2022 06:12 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:L.A. FIRST MONTESSORI PRESCHOOLFACILITY NUMBER:
198018356
ADMINISTRATOR:CHOE, ESTHER INJAFACILITY TYPE:
850
ADDRESS:213 S. HOBART BLVD.TELEPHONE:
(949) 233-4215
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:40CENSUS: DATE:
09/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Esther ChoeTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Esther Choe.

During a previous inspection, LPA Lee observed that the facility did have an outbreak of hand foot and mouth disease in 1 of the classrooms for the preschool. LPA Lee did not observe any incident reports sent by the facility regarding this matter. LPA Lee confirmed with the Director that this matter was not notified to the Monterey Park Regional office by phone and/or by email/mail. This is a potential risk to children in care. Please see the separate 809D page for the details of the citation.

The Director was advised that when 2 or more children become sick with the same type of illness, the facility must notify all parents, the health department, and the regional office. The report to the regional office must be done within 24 hours over the phone, and the LIC 624 must be submitted within 7 calendar days to the regional office by mail, fax, or email.

The notice of site inspection must remain posted for a period of 30 days during hours operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Esther Choe. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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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Document Has Been Signed on 09/01/2022 06:12 PM - 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: L.A. FIRST MONTESSORI PRESCHOOL
FACILITY NUMBER: 198018356

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/01/2022
Section Cited

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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
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in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Epidemic outbreaks.
This requirment was not met as evidenced by the fact an outbreak of hand foot and mouth disease in a classroom was not reported. This is a potential risk to 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: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
LIC809 (FAS) - (06/04)
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