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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495321
Report Date: 10/08/2024
Date Signed: 10/08/2024 04:05:49 PM

Document Has Been Signed on 10/08/2024 04:05 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MONTANA PRESCHOOLFACILITY NUMBER:
197495321
ADMINISTRATOR/
DIRECTOR:		SIGALIT REDFIELDFACILITY TYPE:
860
ADDRESS:2621 WILSHIRE BLVDTELEPHONE:
(310) 663-2169
CITY:SANTA MONICASTATE: CAZIP CODE:
90402
CAPACITY: 65TOTAL ENROLLED CHILDREN: 65CENSUS: 37DATE:
10/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:31 PM
MET WITH:Jeanette Viramontes, Facility DirectorTIME VISIT/
INSPECTION COMPLETED:
02:31 PM
NARRATIVE
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On 10/08/2024 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced case management inspection for the purpose of ensuring the facility is meeting all Tittle 22 regulations and CA Health and Safety codes.

LPA was greeted by facility director Jeanette Viramontes and Sigalit Redfield owner/ Licensee. LPA toured the facility indoors and outdoors and observed 35 children and 9 staff members providing care and supervision. Present during today’s inspection was facility’s 2 cooks and owner/licensee Sigalit Redfield.


Based on interviews with staff, director and owner, it was disclosed that facility failed to report to the Department an usual incident that occurred approximately June 28, 2024 Type B citation was issued, please see LIC 809D for reference.

One deficiencies was cited during today’s visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.

Upon on receipt of this report, the Director/Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Director Jeanette Viramontes. A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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 10/08/2024 04:05 PM - It Cannot Be Edited


Created By: Judy Laureano On 10/08/2024 at 12:26 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: MONTANA PRESCHOOL
FACILITY NUMBER: 197495321

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/15/2024
Section Cited
CCR
101212(d)(1)(B)

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Reporting Requierments 101212(d)(1)(B)
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, 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 specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

(1) Events reported shall include the following:(B) Any injury to any child that requires medical treatment.
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Director agreed to provide a statement that per title 22 she understand the reporting regulation. LPA provided director with a copy of regulation for review. Statement will be emailed to LPA.
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This requirement is not met as evidence by,facility failed to report the unusual incident report that took place on approximalty June 28, 2024.
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


LIC809 (FAS) - (06/04)
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