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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417032
Report Date: 06/03/2024
Date Signed: 06/03/2024 03:38:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
05/31/2024 and conducted by Evaluator Jeanine Lipsey
COMPLAINT CONTROL NUMBER: 58-CC-20240531105957
FACILITY NAME:MONTESSORI OF CHATSWORTHFACILITY NUMBER:
197417032
ADMINISTRATOR:ERBE, ANNAFACILITY TYPE:
830
ADDRESS:10616 ANDORA AVENUETELEPHONE:
(818) 709-2980
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:16CENSUS: 54DATE:
06/03/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Anna ErbeTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff are not practicing safe sleeping procedures.
INVESTIGATION FINDINGS:
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On 6/3/2024, Licensing Program Analyst (LPA) Jeanine Lipsey made an unannounced visit for the purpose of conducting an initial inspection regarding the above allegation. LPA met with, Anna Erbe.
LPA toured the facility of the infant center and pre school, 54 children and 12 staff. LPA took lunch from 11:40-12:30pm

LPA interviewed 4 staff, watched video of nap time, on 5/31/24 11:50am-1pm, LPA observed blankets in the infants cubbie, a blanket hanging on a crib and one nap sak in the crib. One staff member disclosed some infants sleep with blankets that the parents provide. LPA veiwed video which recored 2 sleeping infants sleeping in swings with blankets. LPA did not observe a swing in the infant room on today, 2 staff disclosed there was a swing but it broke on Friday.

Based upon LPA observations, the above allegation has been determined to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standards has been met.

A Type A citation is being issued. See LIC9099-D for deficiency cited.
Exit interview was given and report was given to. Director Anna Erbe.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024
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 58-CC-20240531105957
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: MONTESSORI OF CHATSWORTH
FACILITY NUMBER: 197417032
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/03/2024
Section Cited
CCR
101439.1
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Infant Care Center Sleeping Equipment:
Cribs shall be free from all loose articles and objects, including blankets and pillows.

This requirement is not met as evidence by:
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Take all blankets out of cribs, check often to make sure.
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Based of observation and interviews, the licensee did not comply with the section sited above, blankets were observed on 2 children while sleeping in swings, which posed a health, safety or personal risk to 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: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20240531105957
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: MONTESSORI OF CHATSWORTH
FACILITY NUMBER: 197417032
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/03/2024
Section Cited
CCR
101430(a)(3)(E)
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Infant Care Activities

(E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
This requirement is not met by evidence by:
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Staff will place infants in crib after falling asleep.
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Based of observation, the licensee did not comply with the section sited above, 2 children where sleeping in swings for over an hour and staff did not put intants into a crib after falling asleep, which posed a health, safety or personal risk to children in care.
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Type B
CCR
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will not put infants down at scheduled nap time.
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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: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3