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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215691
Report Date: 06/10/2022
Date Signed: 06/10/2022 11:00:48 AM


Document Has Been Signed on 06/10/2022 11:00 AM - 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117



FACILITY NAME:LITTLE SCHOLARS MONTESSORIFACILITY NUMBER:
566215691
ADMINISTRATOR:SARANGI WETHTHASINGHAFACILITY TYPE:
850
ADDRESS:14701 PRINCETON AVE.TELEPHONE:
(805) 334-5574
CITY:MOORPARKSTATE: CAZIP CODE:
93021
CAPACITY:96CENSUS: DATE:
06/10/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Jennifer McauleyTIME COMPLETED:
12:00 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 June 10, 2022 at 10:13 AM, Licensing Program Analysts (LPA) Dean Thompson and Susana Martinez conducted an unannounced Case Management – COVID-19 inspection and met with Director Jennifer Mcauley. LPA informed Director the purpose for the inspection and completed a COVID-19 pre-screening questions prior to the commencement of the inspection. Jennifer gave LPA a tour of the facility, inside and outside.

This inspection is a follow-up on COVID-19 outbreaks reported by facility staff to CCL between 1/5/2022 5/23/2022. CCL provided a Tele - Rapid Assistance Support Team (RAST) inspection between July 2020 and August 2020, where LPA provided COVID-19 resources, current Childcare Industry Guidance, and a COVID-19 self-assessment guide to the facility.

LPA observed sanitizer is available throughout the facility, safety posters were posted, and temperature check are conducted.

LPA discussed COVID-19 Vaccines, Testing, Face coverings, Essential Protective Equipment and Supplies, Physical Distancing, Ventilation, Isolation for Illness, Cleaning and Disinfection, Hand washing, How to Respond to Exposures or Outbreaks, and Resilience Tips during the Pandemic.

Continued on 809-C
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (805) 729-8797
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2022
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LITTLE SCHOLARS MONTESSORI
FACILITY NUMBER: 566215691
VISIT DATE: 06/10/2022
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
LPA handed Director Jennifer Mcauley the Covid-19 Child Care Program Self-Assessment Guide/Mitigation plan. Director was reminded to send the completed Covid-19 Child Care Program Self-Assessment Guide/Mitigation plan to LPA no later than 6/24/2022 via email or mail. LPA also provided the following resources:
- Official Public Health and Child Care Guidance for COVID-19 .
- COVID-19 Child Care Resources:
https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/child-care-licensing/covid-19-child-care-resources

There were no deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


Exit interview conducted and report was reviewed with the Jennifer Mcauley
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (805) 729-8797
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2