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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411636
Report Date: 07/15/2025
Date Signed: 09/12/2025 03:47:25 PM

Document Has Been Signed on 09/12/2025 03:47 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WESTSIDE MONTESSORIFACILITY NUMBER:
197411636
ADMINISTRATOR/
DIRECTOR:		BANA, DILSHADFACILITY TYPE:
850
ADDRESS:757 PIER AVENUETELEPHONE:
(310) 402-4549
CITY:SANTA MONICASTATE: CAZIP CODE:
90405
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 3DATE:
07/15/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:DILSHAD BANA, LICENSEETIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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On 07/15/2025, Licensing Program Analyst (LPA) Lisa Clayton arrived at Westside Montessori child care center to conduct an Annual Random inspection. Upon arrival LPA Clayton was greeted by Savita Devi, who identified herself as a teacher.

LPA Clayton conducted a tour of the facility. LPA Clayton attempted to call the licensee, Dilshad Bana, however Mrs. Bana did not answer the phone. A parent arrived to drop off their child at the facility. LPA Clayton asked Ms. Savita to call the licensee. LPA Clayton spoke to Mrs. Bana who stated that she was unable to work at present. LPA Clayton asked Mrs. Bana if Ms. Savita had obtained a fingerprint clearance to which Mrs. Bana replied “no”. LPA Clayton asked Mrs. Bana if Ms. Savita is a qualified teacher, and Mrs. Bana replied “no”. LPA Clayton reminded licensee of the Criminal Record Clearance requirements as well as the education requirements. LPA Clayton asked licensee how many children were enrolled and expected at the center today and licensee replied, “only 4”. LPA Clayton asked Mrs. Bana if she had an employee who met the education and Criminal Record Clearance requirements who could come in today and she said “no, not at this time”. Mrs. Bana offered to come in herself and LPA Clayton asked if she would physically be able to care for the children considering the injuries she had sustained recently. LPA Clayton informed Mrs. Bana that the facility was out of compliance and asked if she would consider closing the facility until she was able to return to work and/or find fully qualified staff (Director and teacher) who meet the Criminal Record Clearance requirements as well as the education requirements. Licensee agreed and acknowledged understanding the reason for this request.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 09/12/2025 03:47 PM - It Cannot Be Edited


Created By: Lisa Clayton On 07/15/2025 at 10:52 AM
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: WESTSIDE MONTESSORI
FACILITY NUMBER: 197411636

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)(1)

101170 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Clayton's conversation with Licensee Dilshad Bana who acknowledged that the staff present when LPA Clayton arrived has not been fingerprinted, therefore the licensee did not comply with the section cited above which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/15/2025
Plan of Correction
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Licensee will ensure that all staff obtain a criminal record clearance prior to working, residing volunteering in a licensed facility.
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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/15/2025


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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WESTSIDE MONTESSORI
FACILITY NUMBER: 197411636
VISIT DATE: 07/15/2025
NARRATIVE
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LPA Clayton informed the parents that arrived they would not be able to leave their child at the facility due to Mrs. Bana’s absence, and the staff not meeting the regulatory requirements of the Criminal Record Clearance and education.

LPA Clayton waited at the CCC and was able to advise 2 other parents of the situation. LPA Clayton and Ms. Savita closed the facility.

LPA Clayton was able to obtain a verification that Savita Devi had not met the fingerprint requirement as of July 15, 2025.

Based on LPA Clayton’s observation of a staff providing care who had not met the Criminal Record Clearance requirement, a Type A Violation is being cited.

This report and Appeal Rights were reviewed and provided to Licensee Dilshad Bana via email and via the USPS.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC809 (FAS) - (06/04)
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