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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019186
Report Date: 02/14/2022
Date Signed: 02/16/2022 12:45:02 PM


Document Has Been Signed on 02/16/2022 12:45 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 02/15/2022 02:36 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

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AMENDED REPORT: This report is being amended due to providing a Technical Violation instead of a Type B violation, regarding the uncleared adult present in the facility on 02/14/2022. Spacing has been adjusted.

Licensing Program Analysts (LPAs) Nolan Tcheng and David Kurdoglyan conducted an unannounced random annual inspection. Upon arrival at 8:45am, LPAs met with Director Cheryl Roberts. At 8:55am, Director led LPAs on a tour of the facility. This is a Preschool program which consists of 4 classrooms. Per directir, there are currently 88 enrolled in the program. Hours of operation for this facility are 7am-6pm, Monday-Friday. Licensing staff observed all required forms/publications to be posted in the office.

PHYSICAL PLANT: At 8:55am, LPAs entered and inspected Classroom 1A:15 children with 2 staff members, Classroom 1:19 Children and 2 staff members, Classroom 2: 14 children and 2 staff members, and Classroom 3: 20 children and 3 staff members. During the time of inspection, LPAs observed Claudia Ramos in Classroom 2 in presence of children. LPA contacted the Regional Office for assistance and found that Claudia Ramos was fingerprinted on 07/26/2021. A letter dated 07/27/2021 was mailed to the incorrect address requesting additional information from Ms. Ramos to complete the criminal background process. Ms. Ramos did not receive this letter since her apartment number was not identified on the letter. The licensee states that she was not aware that Ms. Ramos did not have a criminal record clearance because she received the DOJ Applicant Fingerprint Response letter for Ms. Ramos. The licensee asked Ms. Ramos to leave the facility immediately. Ms. Ramos left the facility and was Licensee the importance of making sure all adults working at the facility obtain a criminal record clearance prior to being present at the facility. LPA advised the licensee, to contact the Regional Office in the future to verify clearance and association for any newly hired staff. Licensee agreed and provided the LPA with a signed declaration stating the following: For future hiring in my school, I will verify with my regional office to verify that a new hire has been cleared and associated before they begin work at my school. A Technical Violation is being provided to the Licensee regarding this observation during the inspection. REPORT CONTINUES PAGE 1 of 3

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2022
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 8


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: ARCADIA MONTESSORI SCHOOL
FACILITY NUMBER: 198019186
VISIT DATE: 02/14/2022
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The facility has a large open floor plan for classrooms. At 9:00am, A fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 09/21/2022, as indicated on service tag.Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children on a shelf in the restroom. The cleaning solutions are out of reach of children by being placed high out of reach. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents. Sufficient individual storage space for children was observed and each child has a cubby. Drinking water was readily available indoors. Children bring their own water bottles from home. At this time, the Office is used as an isolation area. A mat is available for an ill child to rest on. First Aid supplies are available and complete. Facility has a functioning carbon monoxide detector that meets statutory requirements. Director states there are no weapons, firearms, or bodies of water on the premises. There are restrooms adjacent to each classroom area, for children to use. All toilets, hand washing, and bathing facilities are safe, sanitary and are operating properly. There is no official kitchen. At this time, due to COVID, the facility is not providing snack or lunch, Families bring their own food for their child to eat. Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teachers during tour. The Licensee is within the conditions, limitations, and capacity specified on the license. All areas were identified on the Facility Sketch were inspected. LPAs reviewed the storage of napping equipment. Napping equipment was observed to be mats.

At 9:10am, LPAs reviewed the outdoor play area. Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall, in the form of wood chips. There is one outside play space that has swings, playhouses, small play structures, and a grass area. Drinking water is readily available outdoors.

FACILITY RECORDS: Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Staff files were reviewed for a health screening report and immunizations that meet regulatory requirements.


REPORT CONTINUES PAGE 2 of 3
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2022
LIC809 (FAS) - (06/04)
Page: 4 of 8
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: ARCADIA MONTESSORI SCHOOL
FACILITY NUMBER: 198019186
VISIT DATE: 02/14/2022
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AMENDED REPORT: This amended page is to state that a Technical Violation was assessed instead of a Type B violation.

Criminal Record Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed. A random sample of Children’s Records were reviewed to ensure that they are complete.

INCIDENTAL MEDICAL SERVICES:


Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA observed that a COVID-19 Technical Assistance call had been made on 03/23/2021.

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

Licensing staff is assessing a Technical violation on the attached LIC9102.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 day during the hours of operation after each site visit by a licensing representative.



Exit interview was conducted with Director Cheryl Roberts, at 12:50pm, and Plan of Corrections were reviewed and developed. A copy of the report was provided. REPORT ENDS PAGE 3 of 3
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 8
Document Has Been Signed on 02/16/2022 12:47 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 02/15/2022 02:22 PM

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: ARCADIA MONTESSORI SCHOOL
FACILITY NUMBER: 198019186

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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 GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2022
LIC809 (FAS) - (06/04)
Page: 5 of 8