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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020087
Report Date: 04/16/2024
Date Signed: 04/16/2024 03:56:00 PM


Document Has Been Signed on 04/16/2024 03:56 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:BRIGHT MONTESSORI SCHOOL INC.FACILITY NUMBER:
198020087
ADMINISTRATOR:SAKINA S. BASRAIFACILITY TYPE:
850
ADDRESS:3010 GLENDALE BLVDTELEPHONE:
(323) 928-2244
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:33CENSUS: 29DATE:
04/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sakina Basrai, DirectorTIME COMPLETED:
04:05 PM
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On April 16, 2024, Licensing Program Analyst (LPA), Monique Ayala conducted an unannounced case management inspection. The purpose of the inspection is to follow up on an incident report that reported on 03/09/2024 and was reported to the department in a timely manner. The incident occurred on 03/08/2024 and is a possible supervision violation. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with director, Sakina Basrai who guided LPA on a tour of the facility. LPA observed 28 children in care with 3 staff members.

During this inspection LPA a current facility roster, LPA interview Staff #1 (S1) and interviewed Child #1 (C1).

At this time the incident report requires further investigation. There will be no deficiencies cited today, 04/16/2024.

An exit interview was conducted and a copy of this report was provided to the Site Supervisor, along with Notice of Site Visit. Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2024
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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