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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494880
Report Date: 12/11/2024
Date Signed: 12/11/2024 05:40:10 PM

Document Has Been Signed on 12/11/2024 05:40 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:VERMONT MONTESSORIFACILITY NUMBER:
197494880
ADMINISTRATOR/
DIRECTOR:		SILVIA FLORES RODRIGUEZFACILITY TYPE:
830
ADDRESS:8300 VERMONT AVENUETELEPHONE:
(323) 549-4570
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 13DATE:
12/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:SILVIA RODRIGUEZ, DIRECTORTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
NARRATIVE
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On 12/11/2024 LPA Clayton conducted an unannounced Case Management inspection at the CCC. LPA was greeted by Director Silvia Rodriguez. LPA Clayton toured the CCC inside and outside for Health & Safety inspection. LPA Clayton observed 13 infants, being supervised, and cared for by 4 fingerprint cleared staff.

LPA Clayton toured the facility inside and outside for a Health and Safety inspection.

During the inspection it was noted that a parent reported observing a teacher handle a child in a rough manner, and a teacher reported the same. No Unusual Incident report was filed with the department, and no report was completed in the child’s file.

LPA Clayton reminded Director of the requirement to report any incidents involving staff and children to the department within 24 hours of the incident via telephone and a written report within 7 days of the occurrence.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, a Type B deficiency is being cited: (see LIC 809D).

An exit interview was conducted, and this report was reviewed with Director Silvia, and Appeal Rights were discussed and provided.

LPA Clayton posted a notice of site visit which must remain posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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Document Has Been Signed on 12/11/2024 05:40 PM - It Cannot Be Edited


Created By: Lisa Clayton On 12/11/2024 at 04:37 PM
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: VERMONT MONTESSORI
FACILITY NUMBER: 197494880

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/11/2024
Section Cited
CCR
101212(d)(1)(C)(D)

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101212 Reporting Requirements (d) (1) (C) (D) (d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)………a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information………(C Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. (D) Any suspected physical or psychological abuse of any child.
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Director will ensure that all Unusual Incidents are reported to the Department via telephone within 24 hours and a written report within 7 days as required by the Title Regulation. A copy of the report is to be kept in the childs file.
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This requirement was not met as evidenced by: Director stated that she did not complete or submit an Unusual Incident Report to the Department when she was notified of the occurence, which poses an immediate Health and Safety risk to chldren 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.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 12/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2024


LIC809 (FAS) - (06/04)
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