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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417551
Report Date: 08/28/2024
Date Signed: 08/28/2024 01:43:07 PM

Document Has Been Signed on 08/28/2024 01:43 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PENINSULA MONTESSORI SCHOOLFACILITY NUMBER:
197417551
ADMINISTRATOR/
DIRECTOR:		KRIKORIAN, CLAUDIAFACILITY TYPE:
850
ADDRESS:907 KNOB HILLTELEPHONE:
(310) 544-3099
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY: 84TOTAL ENROLLED CHILDREN: 84CENSUS: 0DATE:
08/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Irma Campa - Office ManagerTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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On 08/28/2024 Licensing Program Analysts (LPA) Cristina Castellanos and LPA Judy Laureano conducted an unannounced Case Management – Incident inspection related to a self-reported Unusual Incident Report (UIR) submitted on 08/08/2024. LPAs walked around the facility and observed a preschool classroom and one staff member. LPAs were informed that the preschool orientation was taking place for parents from 1:00pm to 3:00pm. LPAs then walked to the preschool office and were greeted by Irma Campa, Office Manager.

Based on the information shared, LPAs determined the Unusual Incident Report reported on 08/08/2024 occurred at the Rancho Palos Verdes location.

An exit interview was conducted and a copy of the report was provided. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
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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