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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020312
Report Date: 03/13/2020
Date Signed: 03/13/2020 10:11:27 AM

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:MONTESSORI ACADEMY OF LA PUENTE/W.COVINAFACILITY NUMBER:
198020312
ADMINISTRATOR:ISMAT ARASTUFACILITY TYPE:
830
ADDRESS:846 N. ORANGE AVETELEPHONE:
(626) 917-3638
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:30CENSUS: 0DATE:
03/13/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Jacqueline Madrigal and Ismat ArastuTIME COMPLETED:
10:15 AM
NARRATIVE
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On March 13, 2020 at 8:50 a.m. Licensing Program Analyst (LPA) Elka Chavez and Licensing Program Manager (LPM) Claudia Guangorena, conducted an announced follow up prelicensing visit to inspect corrections for capacity determination for an infant program. Licensing staff met with Jacqueline Madrigal, Director and Ismat Arastu, who guided Licensing staff with a tour of the facility. Upon arrival LPA and LPM were informed that the roof in the infant room was leaking due to the heavy rain. LPA and LPM observed water leaking from 6 sky lights. Director Ismat Arastu stated that she is in the process of obtaining quotes for repairs.

LPA and LPM inspected the following items and are in compliance with Title 22, California Code of Regulations:

1. Infant changing table has been placed within arm's reach of a sink. Sink is of adequate height for staff.

2. Wooden arch of the safety gate in the infant play area has been stabilized.

3. Play yard equipment has cushion material under climbing structures to absorb falls.

4. Shaded rest area for infants was observed.

The applicant is seeking to provide care for 30 infants; however, after final review of application and based on measurements taken on 01/10/20, the maximum allowed will be 29 infants. A fire clearance has been granted.

Exit interview conducted with Jacqueline Madrigal . Appeal rights were issued and discussed.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Elka ChavezTELEPHONE: (323) 981-3360
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
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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