195700040-2-10-2023-58-CC-DLOE-CNWSBQ-20230210124420

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 195700040
Report Date: 02/10/2023
Date Signed: 02/10/2023 12:44:39 PM

Document Has Been Signed on 02/10/2023 12:44 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:	MULHOLLAND MONTESSORI PRESCHOOL		FACILITY NUMBER:	195700040
ADMINISTRATOR:	DARLENE CABRERA		FACILITY TYPE:	850
ADDRESS:	23010 VENTURA BLVD		TELEPHONE:	(323) 767-4517
CITY:	WOODLAND HILLS	STATE: CA	ZIP CODE:	91364
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	02/10/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Applicant, Noesh Hordagoda		TIME COMPLETED:	01:00 PM

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On 02/10/2023 Licensing Program Analyst (LPA) Deborah Lowe met with Applicant, Noesh Hordagoda and Director, Darlene Cabrera. The purpose of the visit was an announce pre-licensing inspection at the facility to ensure that health, safety and personal rights as requires by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were no children present during this inspection. This is an application for 60 children, ages 2 years to entry into 1^st grade. The child care center will operate Monday – Friday 7:00 a.m. – 6:00 p.m. The fire clearance was approved on 01/11/2023.

Facility is located on the corner unit of an outdoor business plaza.

LPA Lowe toured and measured the on-limits areas and classrooms located at the facility. The facility has a total of 1 open concept classrooms. Children will have access to 4 sinks and 4 toilets.

Classroom measurements are:

Indoor total measurements: 2001.51 square (sq) feet (ft) divided by 35 sq ft = 57 children.

Outdoor Play measurements are:

Outdoor total measurements: 1015.39 sq ft divided by 75 sq ft = 13 children. Area includes outdoor patio and indoor gross motor area not calculated into indoor space.

Applicant stated they will submit an outdoor wavier request.

Indoor/Children’s Area:

All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard were observed to be free of obstruction. The child care center was observed be clean, safe, sanitary and in good repair at all times.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MULHOLLAND MONTESSORI PRESCHOOL	FACILITY NUMBER: 195700040
	VISIT DATE: 02/10/2023

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Floors of all rooms have a surface that is safe and clean. LPA advised a comfortable temperature for children shall be maintained at all times. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. Tables and chairs were observed to be meet the needs of the children. All play equipment and materials used by children were observed to be age-appropriate. LPA observed individual portable storage units on wheels for children’s clothing, personal belongings and/or bedding. All materials and surfaces accessible to children, including toys, were observed to be free of toxic substances.

Drinking will be provided with the use of a water cooler observed in the Director office and with use of Brita water filers located in the classrooms. LPA advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.

Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

Per applicant a pest control service will used to assist in taking measures to keep the center free of flies, other insects, and rodents. All containers for use of solid waste were observed with tightfitting lids. No fireplaces or open-faced heaters were observed. Windows were observed as solid widows that do not open. Two window panels located at the top of classroom were observed in need of repair.

LPA advised disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. LPA advised storage areas for poisons shall be locked. LPA observed a current edition of a first-aid manual, sterile first-aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometer, and antiseptic solution.

A center shall be equipped to isolate and care for any child who becomes ill during the day. The isolation area was observed to be located in the director office to afford easy supervision of children by center staff. The isolation area was observed with a cot. LPA advised the isolation area shall not be located in the kitchen area or the general-use toilet area.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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: MULHOLLAND MONTESSORI PRESCHOOL	FACILITY NUMBER: 195700040
	VISIT DATE: 02/10/2023

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LPA observed a carbon monoxide detector in the facility, LPA heard a successful test. Fire extinguisher was observed with a service date of 06/10/2022. LPA confirmed facility has a working telephone service on the premises.

LPA reviewed facilities planned sign in/out sheets to have a placed for parent/ guardian’s full signature.

LPA Lowe confirmed with Director the facilities plan to ensure children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.

LPA Lowe advised smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b). A baby walker shall not be allowed on the premises of a child care center in accordance with Health and Safety Code Sections 1596.846(b) and (c).

LPA advised there shall be at least 35 square feet of indoor activity space per child based on the total licensed capacity. Based on the total licensed capacity, one toilet and one handwashing fixture shall be maintained for every 15 children, or fraction thereof.

Napping:

Cots used for napping were observed to be maintained in a safe condition. Covered with vinyl or similar material that can be wiped. Marked or colored so that the sleeping side can be distinguished from the floor side. Wiped with a detergent/disinfectant weekly or when soiled or wet.

LPA advised maintained in a safe condition. Each cot or mat shall be equipped with a sheet to cover the cot and, depending on the weather, a sheet and/or blanket to cover the child.

LPA observed a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.

Restrooms:

LPA observed all toilets and handwashing to be maintained in safe and sanitary operating condition. LPA advised additional equipment, aids and/or conveniences shall be provided as needed in centers that serve children with physical disabilities.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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: MULHOLLAND MONTESSORI PRESCHOOL	FACILITY NUMBER: 195700040
	VISIT DATE: 02/10/2023

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Bathrooms were observed with handwashing sinks that deliver cold water. LPA advised hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Notwithstanding (e) and (e)(1) above, handwashing fixtures shall not be required to deliver hot water.

Per applicant, staff bathroom will be designated for use by children who are ill, for use by staff, and for emergency use. This toilet and handwashing fixture shall be conveniently located in relation to the isolation area.

LPA advised common towels or washcloths are prohibited.

Outdoor:

Facility was observed with an indoor gross motor area with artificial grass and an outdoor patio.

LPA observed the outdoor and gross motor area to be free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. Outdoor patio was observed with concrete and per applicant will be used for bikes. Indoor gross motor area was observed with a plastic slide and a Step 2 climbing jeep. LPA observed equipment to be age appropriate.

LPA advised as a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. LPA observed a cushioned material that absorbs falls in the indoor gross motor area. No sandboxes were observed at facility.

The outdoor patio was observed to be enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence measured four feet; one inch high.

LPA advised, any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. This shall include, but not be limited to, incinerators, air- conditioning equipment, water heaters, and fuse boxes.

No pools or other bodies of water were observed at facility.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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: MULHOLLAND MONTESSORI PRESCHOOL	FACILITY NUMBER: 195700040
	VISIT DATE: 02/10/2023

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LPA observed outdoor patio access is through the indoor gross motor area. An outside business located next door to facility in the Plaza was observed with two doors that lead to the outdoor patio area. Applicant stated they will provide LPA with a letter from landlord that Mulholland Montessori Preschool has exclusive use and access to the outdoor patio area.

There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity.

Health Related Services:

Per applicant, medications will be stored in the director office. LPA observed a clear locked box in the director s office inaccessible to children. LPA advised a refrigerator shall be used to store any medication that requires refrigeration.

LPA advised the licensee shall develop and implement a written plan to record the administration of prescription and nonprescription medications and to inform the child's authorized representative daily when such medications have been given. LPA provided applicant and director with LIC9221 Parent Consent for Administration of Medication and Medication Chart.

Food Service:

LPA advised full-day programs shall ensure that each child has a lunch. Half-day programs shall offer a midmorning or midafternoon snack. Per applicant, parents will provide all snacks and lunches. Facility does not have a kitchen or food preparation area. LPA observed an emergency food storage container to be used in case of an emergency.

LPA advised pesticides and other similar toxic substances shall not be stored in food storerooms, kitchen areas, food-preparation areas, or areas where kitchen equipment or utensils are stored.

LPA advised soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies.

Postings:

LPA Lowe observed the following postings located on a parent board near the entrance to the facility: LIC 613A (9/96), the PUB 393 (8/02), Child Care Center Notification of Parents' Rights Poster, LIC 610 Emergency

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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: MULHOLLAND MONTESSORI PRESCHOOL	FACILITY NUMBER: 195700040
	VISIT DATE: 02/10/2023

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Disaster Plan with the telephone number of the local health department, information on child passenger restraint systems, and a contingency plan for action during fires, floods and earthquakes.

LPA observed facilities disaster and mass casualty plan of action. LPA advised the plan shall be in writing and shall be readily available.

LPA advised the licensee shall reveal each child care center license number in all advertisements in accordance with Health and Safety Code Section 1596.861.

Transportation:

Facility does not provide any transportation services.

The following items were discussed:

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant 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.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

Page: 6 of 7

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: MULHOLLAND MONTESSORI PRESCHOOL	FACILITY NUMBER: 195700040
	VISIT DATE: 02/10/2023

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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

LPA reviewed with the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections are needed before a licensure will be considered. Corrections are due by 02/24/2023:

Provide a verification that Mulholland Montessori Preschool has exclusive use and access to the outdoor patio area.
Two upper windowpanes were observed in need of repair.
Submit outdoor waiver request

An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the Applicant, Noesh Hordagoda and Director, Darlene Cabrera. Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

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