<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019891
Report Date: 10/28/2021
Date Signed: 10/28/2021 12:43:13 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
FACILITY NAME:FOOTHILL PROGRESSIVE MONTESSORI INFANT CENTERFACILITY NUMBER:
198019891
ADMINISTRATOR:SHAMALIE GOODNEWARDENEFACILITY TYPE:
830
ADDRESS:4532 INDIANOLA WAYTELEPHONE:
(818) 952-0129
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY:20CENSUS: 11DATE:
10/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Director, Shamalie GoonewardeneTIME COMPLETED:
12:50 PM
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
On 10/28/2021 at 9:05am, Licensing Program Analysts (LPA) Jose Guzman conducted an unannounced required inspection. A risk assessment was conducted prior to entering the facility. LPA met with Assistant Director, Crystal Castaneda, who guided the LPA on a tour of the facility as Director, Shamalie Goonewardene, was not available. Director arrived at 9:28am to complete the facility tour. This is an infant program licensed for 20 children which operates Monday – Friday from 7:30 AM – 5:30 PM. Per the director, there are 19 children enrolled.

All areas identified on the Facility Sketch were inspected. The infant program is located adjacent to the center's pre-school program. Upon arrival, the following staff was present during this inspection: Infant Room; Staff #1, #2, #3, #4, #5, #6 with 11 children. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license.

Food in refrigerator was labeled. Infant Needs and Service plans were reviewed on file. Counter tops were clean and free of clutter or standing food. Cleaning compounds are inaccessible to children. Sign in and out sheets were reviewed.

Cribs and napping equipment were observed in the infant program.
Page 1 of 3
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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
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: FOOTHILL PROGRESSIVE MONTESSORI INFANT CENTER
FACILITY NUMBER: 198019891
VISIT DATE: 10/28/2021
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
26
27
28
29
30
31
32
Outdoor equipment was inspected for safety, cushioning material, good repair and appropriateness. Play area was inspected for hazards. The director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit.
Care and supervision were evaluated to determine basic needs of infants are met and are appropriate. Staff and Children’s Records were reviewed.
Director 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.

LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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


Page 2 of 3
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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: FOOTHILL PROGRESSIVE MONTESSORI INFANT CENTER
FACILITY NUMBER: 198019891
VISIT DATE: 10/28/2021
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
26
27
28
29
30
31
32
At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

Notice of Site Visit must be posted for (30) days. Exit interview conducted with Director, Shamalie Goonewardene.

Page 3 of 3
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jose GuzmanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3