<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417032
Report Date: 09/18/2024
Date Signed: 09/18/2024 10:23:41 AM

Document Has Been Signed on 09/18/2024 10:23 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 CHATSWORTHFACILITY NUMBER:
197417032
ADMINISTRATOR/
DIRECTOR:		ERBE, ANNAFACILITY TYPE:
830
ADDRESS:10616 ANDORA AVENUETELEPHONE:
(818) 709-2980
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 16DATE:
09/18/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:43 AM
MET WITH:Anna Erbe DirectorTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
This is the amended report to add 809 D page from LIC 9099 created on 6/3/24.

On 9/18/24 at 8:43 AM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management deficiencies visit to amend a previous report to add LIC 809D and obtain signatures. Director Anna Erbe led LPA on a tour. LPA Lipsey observed 16 children, being supervised by 5 staff members. Exit interview conducted and report was reviewed with Director Anna Erbe.   A notice of site visit was given to the Director and must remain posted on for 30 days.

On 6/3/24 at 8:15 AM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management deficiencies visit, Director Anna Erbe led LPA on a tour.

LPA Lipsey observed 54 children, being supervised by 12 staff members.

LPA observed 2 infants under 12 months sleeping at the scheduled nap time. Staff disclosed all children are put down for nap at 11:50am each day. A type B deficiency was sited.

LPA viewed video and a photo where infants were seen sleeping in swings and not taken to a crib after falling asleep. A type B deficiency was sited. See LIC9099-D for deficiency cited.

Exit interview conducted and report was reviewed with Director, Anna Erbe on 06/03/24.  A copy of this report, along with Appeal Rights, were provided. A notice of site visit was given to the Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
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 licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 09/18/2024 10:23 AM - It Cannot Be Edited


Created By: Jeanine Lipsey On 09/18/2024 at 08:49 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: MONTESSORI OF CHATSWORTH
FACILITY NUMBER: 197417032

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/18/2024
Section Cited
CCR
101430(a)(3)(B)(1)

1
2
3
4
5
6
7
Infant Care Activities
1. The center is not prohibited from scheduling sleep times for infants over 12 months old.
This requirement is not met by evidence by:

1
2
3
4
5
6
7
POC will not put infants down at scheduled nap time.
8
9
10
11
12
13
14
Based of observation and interview, the licensee did not comply with the section sited above, 2 infants younger then 12 months are scheduled a nap time from 11:50 to 2pm, which poses a health, safety or personal risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: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


LIC809 (FAS) - (06/04)
Page: 2 of 2