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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018405
Report Date: 06/13/2024
Date Signed: 06/13/2024 10:45:27 AM


Document Has Been Signed on 06/13/2024 10:45 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:KEYSTONE MONTESSORI PRESCHOOLFACILITY NUMBER:
198018405
ADMINISTRATOR:BHAGYA WIJEWARDANEFACILITY TYPE:
850
ADDRESS:7056 WASHINGTON AVE.TELEPHONE:
(562) 303-7273
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:53CENSUS: 22DATE:
06/13/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director, Bhagya WijewadaneTIME COMPLETED:
11:15 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Lilli Babcock and Saul Valenzuela conducted an unannounced POC (plan of correction) inspection to ensure that the Type A deficiency cited on 5/14/24 has been cleared. A COVID risk assessment was conducted. LPAs met with Lead Teacher, Nohelly Rios Ramirez, to whom the reason for the visit was explained. As the Lead Teacher was the only staff present in her classroom and was not able to give LPAs a tour and stay in ratio, LPAs conducted a self-guided tour of the facility classrooms. LPAs observed 22 children and 3 staff present during this inspection. Director, Bhagya Wijewadane arrived at the facility at 10:15 am. The following was observed:

· LPAs observed Staff #2 has been fingerprint cleared and associated to the facility. LPAs observed signed LIC 9224s in children’s files.



LPAs advised the Director how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPAs cleared the deficiency on this date and provided a copy of the Licensing Report to Director, Bhagya Wijewardane. LPAs also issued POC clearance letter to Director during the visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

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 Director, Bhagya Wijewardane.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2024
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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