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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411636
Report Date: 09/12/2025
Date Signed: 09/12/2025 03:48:45 PM

Document Has Been Signed on 09/12/2025 03:48 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: 0CENSUS: 0DATE:
09/12/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:DILSHAD BANA, LICENSEETIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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An office meeting was scheduled virtually via Microsoft Teams on September 12, 2025.

The meeting attendees are as follows:
Maureen Neal, Licensing Program Manager
Lisa Clayton, Licensing Program Analyst
Dilshad Bana, Licensee
Hamida Madhavi, Licensees daughter

The purpose of the meeting was to discuss the type A violation for Criminal Record Clearance and to surrender the facility license.

LPM Neal began the meeting with introductions, purpose of meeting and outlined the observations that were observed during the July 15, 2025, annual inspection.

LPM Neal opened the meeting regarding the concerns that were observed by LPA Clayton on July 15, 2025. During the inspection LPA Clayton observed an individual supervising without the required education units and Criminal Record Clearance requirements. LPA Clayton had a telephone conversation with the licensee who verified that the individual did not meet the requirements. Licensee informed LPA Clayton she was unable to return to work and be present at the facility due to injuries she had sustained.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2025
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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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: 09/12/2025
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The licensee acknowledged she had been in communication with LPA Clayton, via telephone and email on several occasions after July 15, 2025. LPA Clayton was recommending that the licensee place her license on “inactive status” until she was ready to return to work or until she was able to hire staff fully qualified to operate the center in her absence. During a prior conversation, Mrs. Bana asked LPA Clayton if she would be able to close the Center license and apply for a Family Child Care home license where the education requirement is not needed. LPA Clayton advised Mrs. Bana that the licensee of a Family Child Care home is required to live in the home. LPA Clayton also asked Mrs. Bana if the property has a permit issued by the Department of Building and Safety as a residence, or does it hold a commercial property permit.

On August 20, 2025, LPA Clayton received an email from Mrs. Bana which stated “I’m reaching out to notify the Department of Social Services of my intent to surrender the license for Westside Montessori School, license number 197411636, effective today, August 20, 2025. The facility is permanently closing, and there are no children enrolled.”

LPA Clayton attempted to meet with Mrs. Bana in person to complete the inspection initiated on July 15, 2025, and issue the Type A citation for Criminal Record Clearance and obtain the facility license however Mrs. Bana was not available.

Mrs. Bana acknowledged on today’s meeting that the aforementioned is an accurate account and that she is indeed surrendering the license. LPM Neal informed the licensee that the department will email and send via postal mail the completion of the annual report, a report of the meeting that occurred today and a declaration verifying she is surrendering the license.

By surrendering the license today, Licensee Dilshad Bana acknowledges the following:

· The License is closed as of September 12, 2025
· Providing care of any kind without a license, or continued operation is a violation of law, subject to civil penalties under Health and Safety Code Section 1547, 1568.0821, or 1596.894b, and applicable regulations, as well as other actions by the Department.
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: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC809 (FAS) - (06/04)
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