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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419019
Report Date: 01/26/2023
Date Signed: 02/13/2023 02:18:35 PM


Document Has Been Signed on 02/13/2023 02:18 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:BEVERLYWOOD MONTESSORI PRESCHOOLFACILITY NUMBER:
197419019
ADMINISTRATOR:TORRES, IZAFACILITY TYPE:
850
ADDRESS:1653 SOUTH ROBERTSON BOULEVARDTELEPHONE:
3105521155
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:37CENSUS: DATE:
01/26/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Iza Torres, Director and Yazmin Poonja, Licensee/OwnerTIME COMPLETED:
03:55 PM
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This informal meeting was conducted via Microsoft Teams due to COVID -19 precautionary measurement in place.

An informal meeting was held on 01/26/2023 at 2:30 PM to discuss the outcome of an investigation into complaint allegations received by the Department on 09/09/2022, which have been substantiated. Present during this informal meeting was, Victor Bautista Regional Manager (RM), Lisa Rios Licensing Program Manager I (LPM - I), Denise Do Amaral Miranda Licensing Program Analyst (LPA), and facility representatives Director Iza Torres and Owner Yazmin Poonja.
During this meeting, the following was discussed:
It has been alleged that on, 9/6/22, Child left the childcare unsupervised due to lack of supervision; Licensee did not inform child's authorized person of incident; Childcare gate is in disrepair.
The investigation was initiated on 9/15/22.
A substantiated finding was delivered on 11/28/22 and the following citations were issued: the facility was cited a Type A deficiency for Title 22 CCR Division 12 101229 (a)(1). Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by: On 09/6/2022 child#1 left the childcare unsupervised due to lack of supervision left the facility. Child was found over 10 minutes later with two adults who brought the child to the facility.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: BEVERLYWOOD MONTESSORI PRESCHOOL
FACILITY NUMBER: 197419019
VISIT DATE: 01/26/2023
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This poses an immediately health and safety risk to children in care. Director agrees to provide training for all staff: “Supervising Children in Child Care Centers” video to the Child Safety/Supervision. Director created a Protocol regarding Child Safety/Supervision and submitted on 09/16/2022. The facility was cited a Type A deficiency for Title 22 CCR Division 12 101238(a) - Buildings and Grounds. The childcare center shall be ……in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by: On 09/06/2022 Child left the childcare unsupervised due to lack of supervision left the facility, using the back gate that had a lock and a coil chain, however the coil chain had a gap enough for the child leave the facility. This poses an immediate health and safety risk to children in care.

Director stated that the teachers now carry walkie talkies and communicate with the Director, the census and ratio are periodically checked throughout the day on demand. The teachers have been “zoned” while outside with the children to ensure that they are all located in various areas of the yard to provide proper supervision of the children. Children are redirected away from the gate where the child eloped, and the gate has been permanently closed and there is rubber padding at the bottom so it can no longer be opened. Director has agreed to hold in-service trainings for staff monthly as currently described and are happening as written into the program plan.



Director or Licensee Representative agrees to a referral to the Technical Support Program (TSP) to be accorded the access to resources and guidance in effort to ensure the health, safety, and personal rights of children in care. The Department has informed the Director and owner that more frequent visits will be held for the next two years. Director and Owner agreed to submit the in-service training plan to the CCLD office and will make it available at the facility for review.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: BEVERLYWOOD MONTESSORI PRESCHOOL
FACILITY NUMBER: 197419019
VISIT DATE: 01/26/2023
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An exit interview was conducted with Director Iza Torres and Owner Yazmin Poonja which it has been explained that this report shall be furnished via email for review and signature. Also requesting that the signed report shall be returned to the CCLD office.

SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3