566215000-12-17-2019-17-CC-FPEA-BJXS23-20191217122851

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566215000
Report Date: 12/17/2019
Date Signed: 12/17/2019 12:29:00 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	MONTESSORI OF NORTH RANCH		FACILITY NUMBER:	566215000
ADMINISTRATOR:	ROLA KONTAR		FACILITY TYPE:	830
ADDRESS:	1165 LINDERO CANYON ROAD		TELEPHONE:	(818) 852-7202
CITY:	WESTLAKE VILLAGE	STATE: CA	ZIP CODE:	91362
CAPACITY:	20	CENSUS: 10	DATE:	12/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Rola Kontar		TIME COMPLETED:	10:20 AM

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	Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random Inspection. LPA met with facility Director Rola Kontar and explained the purpose of the inspection. LPA and Director together toured the facility inside and out. The facility currently had 10 children in care at the time of the inspection. The center operates from 7:00 AM to 6:00 PM, Monday thru Friday. This is a combined center with an preschool program. Licensing required notices were posted prominently on the wall at the entrance of the facility. The facility uses two classrooms for the program. There were two staff supervising 5 infants in each classroom. The classrooms had age appropriate toys and furnishings. The classroom had a changing table with sink readily accessible. LPA observed eight cribs available for infants to use. Food and milk is stored in a refrigerator located in the classroom. LPA reviewed a sampling of Individual needs & services plans and feeding plans. Children bottles and food were properly labeled with child's name and date. LPA did not observe any toxins/hazardous items accessible to children. Director advised the center does not have firearms or ammunition at the facility. Continued on 809C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MONTESSORI OF NORTH RANCH	FACILITY NUMBER: 566215000
	VISIT DATE: 12/17/2019

NARRATIVE

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Center uses written sign-in/sign-out sheets located at the entrance. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current First Aid/CPR certificates that expire on 11/29/20. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 09/10/21. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Director was provided a guide for Safe Sleep.

Incidental Medical Services (IMS) policy was discussed and currently the center does have children with IMS. Plan of Operations on file. 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.

No deficiencies were cited during today's visit.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

LIC809 (FAS) - (06/04)

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