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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197410539
Report Date: 10/30/2024
Date Signed: 10/30/2024 07:37:05 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/21/2024 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240821131500
FACILITY NAME:SANTA MONICA MONTESSORI SCHOOLFACILITY NUMBER:
197410539
ADMINISTRATOR:CRISMAN, PAMELA J.FACILITY TYPE:
850
ADDRESS:1909 COLORADO AVENUETELEPHONE:
(310) 829-3551
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:97CENSUS: 39DATE:
10/30/2024
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Isamar Galvan and Pamela CrismanTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Physical Plant: Staff do not ensure that playground is free from hazards.
INVESTIGATION FINDINGS:
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On 10/30/2024 Licensing Program Analysts (LPA)s Judy Laureano and Brittany Lovest arrived at above mentioned facility for the purpose of delivering findings. LPAs were greeted by Isamar Galvan and discussed the purpose of the visit. Isamar Galvan stated that facility director stepped out and will be back shortly. Facility Director, Pamela Crisman arrived at facility at approximately 12:51 p.m.

LPAs toured the facility and observed the following:
Classroom 1: 20 children with 2 staff members
Classroom 2: 9 children and 2 staff members
Classroom 3: no children present in the space
Classroom 4: 10 children and 1 staff member
Classroom 5: no children present in the space.

LPAs observed all classroom and outdoors space. While inspecting the outdoor yard,
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 30-CC-20240821131500
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SANTA MONICA MONTESSORI SCHOOL
FACILITY NUMBER: 197410539
VISIT DATE: 10/30/2024
NARRATIVE
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LPAs observed two protruding small pipes in the outdoor yard/basketball court and one small protruding pipe near the metal outdoor gate, making the area potentially hazardous to the children in care. Based on LPAs observation, there is a preponderance of evidence to prove the allegation of facility not ensuring playground is free from hazard. Therefore, the allegation of physical plant is to be SUBSTANTIAED. LPAs cited a Type B citation, please see LIC 9099D.

One deficiency was cited during today’s visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.

Upon on receipt of this report, the Director/Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Isamar Galvan and Pamela Crisman. A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240821131500
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SANTA MONICA MONTESSORI SCHOOL
FACILITY NUMBER: 197410539
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/22/2024
Section Cited
CCR
101238.2(d)(2)
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101238.2 Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained:
(2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.
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Facility agrees to remove/barricade the three protruding pipes in the yard and submit corrections via email to LPA.
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This requirement is not met as evidenced by: LPAs observed two protruding small pipes in the outdoor yard/basket ball court and one small protruding pipe near the metal outdoor gate, making the area potentially hazardous to the children in care.
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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.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3