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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371140
Report Date: 05/20/2019
Date Signed: 05/20/2019 05:41:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LA HABRA MONTESSORI PRESCHOOLFACILITY NUMBER:
304371140
ADMINISTRATOR:WEERAKON, MANOJAFACILITY TYPE:
830
ADDRESS:230 S IDAHO STTELEPHONE:
(626) 224-5259
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:8CENSUS: 5DATE:
05/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:38 PM
MET WITH:Manoja WeerakonTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Stacy Torrence conducted an unannounced inspection on the above facility. LPA met with Manoja Weerakon, Director, who guided the analyst on a tour of the entire facility; inside and outside. Census was taken. There were five infants and two staff supervising; in the Orange Room. The facility operates from: Monday-Sunday 6:30AM-8:00PM. This is a full day program. This facility serves ages birth to two-years old. Per Director, there are 7 infants enrolled. This facility has a waiver which allows preschool children to share small yard with the infant children on a rotating schedule. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture were inspected to ensure it's in good condition, free of sharp, loose or pointed parts. The bins had tight fitting covers. The napping area is separated from the activity area and has sufficient infant napping equipment. There were no baby walkers observed on the premises. The changing table is within arm reach of a sink. Bottles and dishes are labeled with the current date and children's names. The infants were being supervised in the awake area. There are no weapons, firearms or bodies of water in the facility per the staff. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material around and under high climbing equipment. Staff's files were reviewed for education verification, CPR/First Aid, infant units, Staff had the required mandated reporter training on file and the required immunization's on file for Pertussis, Measles, and Influenza. There were carbon monoxide detectors present during today's inspection. A sample of children's files were reviewed for completeness of medical assessment, and verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representatives’ full legal signature. The facility has an individual feeding plan for each infant and each infant has an infant Needs and Services Plan.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA HABRA MONTESSORI PRESCHOOL
FACILITY NUMBER: 304371140
VISIT DATE: 05/20/2019
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Incidental Medical Services – IMS was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

The following was reviewed and discussed during today's inspection: Child care Advocate Program childcareadvocatesprogram@dss.ca.gov .


LPA reviewed and discussed the following with the Director: Mandated reporter training AB1207 for all facility staff must be completed and in the staff members files and renewed every 2 years, Quarterly updates and Child Care Advocate Program childcareadvocatesprogram@dss.ca.gov. LPA informed the licensee of how to access regulations and forms from CCLD websites. http://www.ccld.ca.gov/http://ccld.ca.gov/PG411.htm.

After LPA’s tour of the facility and review of children's and staff records, no deficiencies were observed.
The facility was in compliance with the California Code of Regulations, Title 22, Division 12, during today's inspection.

Exit interview was conducted with Manoja Weerakon, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
LIC809 (FAS) - (06/04)
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