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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191201656
Report Date: 07/01/2024
Date Signed: 07/01/2024 01:42:28 PM

Document Has Been Signed on 07/01/2024 01:42 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CASA MONTESSORI, INCFACILITY NUMBER:
191201656
ADMINISTRATOR/
DIRECTOR:		CONSUELO VALERAFACILITY TYPE:
850
ADDRESS:17633 LASSEN STREETTELEPHONE:
(818) 886-7922
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 18DATE:
07/01/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Monina Santos, PrincipleTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 07/01/2024 at 8:30 AM, Licensing Program Analysts (LPAs) Elicia Calvillo and Roberto Luque Avila conducted an unannounced 3 Year Annual Required Inspection. Facility is located at 17633 Lassen Street, Northridge, CA 91311. LPAs identified self and met with Monina Santos, Principle, LPAs identified reason for visit and provided Entrance Checklist -Child Care Centers (LIC 125) to help facilitate the inspection.

Facility Representative (FR) Monina Santos, Principle, allowed entry to facility and provided LPAs a guided tour of inside and outside of the facility. The facility is currently licensed for a capacity of 72, per FR they currently have 70 enrolled. The facility hours of operation are currently Monday thru Friday from 07:30 AM to 05:30 PM.

Required postings were observed posted by the entrance walkway.

The facility is made up of four classrooms: Classroom #1 – 2.5 to 3 year-olds, 2 staff, and 6 children. Classroom #2 – 3 years to 4 year-olds, 2 staff, and 6 children, Classroom #3 – 4 years to 4.9 years-old, 2 staff and 6 children.

Beginning at 08:40 AM, LPAs observed the following in each classroom. The furniture, toys, and equipment were inspected for age appropriateness and were in good repair. There were cubbies used for each child to store their belongings. There were standard cots/mats and bed linens provided by the families and taken home weekly for washing. A water fountain in each classroom for drinking water was readily available and water bottles were identified with each child’s name. Inside each classroom there restroom(s), which were inspected for safety and sanitation, there were age-appropriate sinks and toilets, there was available water, water temperature was appropriate, and toilet paper was provided. There is telephone service, heating, lighting and ventilation were evaluated for safety and comfort.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 07/01/2024 01:42 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Elicia Calvillo On 07/01/2024 at 12:53 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CASA MONTESSORI, INC
FACILITY NUMBER: 191201656

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Under Appeal
Type B
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview, record review, the licensee did not comply with the section cited above in In that Criminal Record Clearance not associated to the facility for Shana Perez-Ponticelli, Jacqueline Belvons, and Edith Monje Mendez. which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/05/2024
Plan of Correction
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Per Principal, the 3 staff will completed the Criminal Record Clearance Transfer requested and associated the staff to the facility by the plan of correction due date 07/05/2024.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation,interview,record review, the licensee did not comply with the section cited above in that the Mandated Reporter Certficate has expired for Silva Hernandez, Monina Santos, and Shana Perez-Ponticeli which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2024
Plan of Correction
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Per Principal, Mandated Reporter training for Silva Hernandez, Monina Santos, and Shana Perez-Ponticeli will be completed by the plan of correction due date 07/12/2024 and email LPA Calvillo a copy of the certificate.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Rita Ramos
LICENSING EVALUATOR NAME:Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:
DATE: 07/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2024


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Document Has Been Signed on 07/01/2024 01:42 PM - It Cannot Be Edited


Created By: Elicia Calvillo On 07/01/2024 at 12:53 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CASA MONTESSORI, INC
FACILITY NUMBER: 191201656

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above in that 7 of 7 staff records did not have Immunizaiton Records readily available upon request which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2024
Plan of Correction
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Per Principal, staff will provided a copy of the Immunzation Records by the plan of correction due date 07/12/2024 and provide LPA Calvillo a copy of the Immunizaiton Record.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Rita Ramos
LICENSING EVALUATOR NAME:Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:
DATE: 07/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2024


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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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CASA MONTESSORI, INC
FACILITY NUMBER: 191201656
VISIT DATE: 07/01/2024
NARRATIVE
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LPAs observed a first aid kits located in each classroom and inventoried for necessary supplies. LPAs observed a device high on the ceiling per FR it is a carbon monoxide detector. LPAs observed smoke detector via fire alarm. Disaster drill log was available. Per FR, isolation area for sick children is in the Classroom #4 and there are cots/mats available to lay down. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPAs observed cleaning solutions stored in high cabinets and high shelves in classrooms restroom.

Beginning at 8:50 AM, LPAs did not observed a kitchen area/ food preparation area. All snacks and lunches are provided by the parents and food is kept in the cubby areas in the classrooms.

Beginning at 09:00 AM, LPAs toured the outdoor play area and observed playground equipment in safe conditions, free of sharp, loose, or pointed parts, in good repair and age appropriate. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. The children have access to water and will bring water from the classroom during outdoor play and a supply of water is available should children need water refills. LPAs advised that no children shall be left without the supervision at any time.

There are no swimming pools or other bodies of water on the premises.

Beginning at approximately 09:30 AM, staff and children’s records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857 for children and the LIC 859 for staff. Criminal Record Clearances were reviewed for adults and LPAs found 3 staff not associated to the facility. CPR card expires on 10/2024 for Staff #1. Staff files reviewed did have proof of the AB 1207 Mandated Reporter Training certificate on file was expired. Inspection of required forms were discussed. A Technical Assistance was provided for the LIC 503 Health Screening and Director Qualifications for Administration Supervision and Health and Safety Training courses, was not readily available upon request.



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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CASA MONTESSORI, INC
FACILITY NUMBER: 191201656
VISIT DATE: 07/01/2024
NARRATIVE
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LPAs observed that teacher-child ratios were maintained, and staff names were recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed 17 of 18 children signed in at time of inspection. Personal Rights of children were observed by LPA.


This facility provides Incidental Medical Services - IMS. LPA reviewed storage of "medication and equipment/supplies, and reviewed children's, personnel, and
administrative records.

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care­ centers/.


Facility Representative was reminded that all adults 18 and over, including
employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CCC COMPLETED TESTING. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CASA MONTESSORI, INC
FACILITY NUMBER: 191201656
VISIT DATE: 07/01/2024
NARRATIVE
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There are no infants enrolled. LPAs discussed the safe sleep regulations with licensee facility representative and
discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and­resources/safe-sleep as an additional resource.

LPAs informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPAs informed facility representative of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.


To improve the quality and value of the new inspection process, a survey may be sent to the
email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CASA MONTESSORI, INC
FACILITY NUMBER: 191201656
VISIT DATE: 07/01/2024
NARRATIVE
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Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, deficiencies are being cited on the attached deficiencies pages.

A Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to comply with posting requirement will result in an immediate civil penalty of $100.00.

Exit interview conducted, appeal rights and report was reviewed with the facility representative, (insert name), Principal.



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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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