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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410539
Report Date: 09/05/2024
Date Signed: 09/05/2024 03:17:33 PM

Document Has Been Signed on 09/05/2024 03:17 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:SANTA MONICA MONTESSORI SCHOOLFACILITY NUMBER:
197410539
ADMINISTRATOR/
DIRECTOR:		CRISMAN, PAMELA J.FACILITY TYPE:
850
ADDRESS:1909 COLORADO AVENUETELEPHONE:
(310) 829-3551
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY: 97TOTAL ENROLLED CHILDREN: 97CENSUS: 43DATE:
09/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Pamela Crisman and Isamar GalvanTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 09/05/2024 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management inspection at the above-mentioned facility for the purpose of ensuring that standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

LPA Laureano met with Pamela Crisman and Isamar and toured the home both indoors and outdoors.

LPA Laureano review Guardian and confirmed with facility that F. Gonzalez did not have a valid criminal record clearance. Director confirmed that F. Gonzalez has been present at the facility for 3 days, school year started 9/3/2024. Facility is being cited 1 Type A citation and a civil penalty is being accessed. Please see LIC 809D for reference.

F. Gonzalez completed her livescan during today's inspection and facility will verify with Guardian that process was completed.

Effective January 1, 2009, all licensees must comply with Assembly Bill (AB) 978. Assembly Bill 978 requires the assessment of an immediate civil penalty for designated serious violations at community care facilities. Effective January 1, 2007, the licensee must comply with Assembly Bill 633 as follows: Copies of any licensing report that documents a Type A citation - this includes facility visits and substantiated complaint investigations. Copies of any licensing documents pertaining to a noncompliance conference between licensing management and licensees. Copies of a summary of an accusation indicating the Department’s intent to revoke the facility’s licenses. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolling children. The licensee shall keep verification of receipt in each child’s file at the facility as proof of compliance (LIC 9224).



Upon on receipt of this report, the 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 Director Pamela Crisman, copy of this report and appeal rights were discussed and left with Director, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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Document Has Been Signed on 09/05/2024 03:17 PM - It Cannot Be Edited


Created By: Judy Laureano On 09/05/2024 at 01:52 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: SANTA MONICA MONTESSORI SCHOOL
FACILITY NUMBER: 197410539

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/05/2024
Section Cited
CCR
101216(i)(1)

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(i) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall:(1) Obtain a California clearance or a criminal record exemption......
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Director agrees to have all employees complete a livescan process and ensure ensure that prior to employment or initial presence in the child care center all employees are fingerprinted and a clearance in Guardian has been recieved and is on file. Facility will provide parents of currently enrolled children and parents of children
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This requirement was not met as evidenced by: LPA Laureano reviewed Guardian with faciltiy and confirmed one staff member did not have a Criminal Record Clearance prior to employment at the Child Care Center for 3 days.
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enrolled over the next 12 months copies of the Licensing Report containing the Type A violation and maintain a signed LIC 9224 the above mentioned childrens files.

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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2024


LIC809 (FAS) - (06/04)
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