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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002033
Report Date: 03/05/2025
Date Signed: 03/05/2025 01:25:44 PM

Document Has Been Signed on 03/05/2025 01:25 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MARINA MONTESSORI SCHOOLFACILITY NUMBER:
198002033
ADMINISTRATOR/
DIRECTOR:		CANDYCE BRIZZOLARAFACILITY TYPE:
850
ADDRESS:2301 XIMENO AVETELEPHONE:
(562) 494-4641
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 31DATE:
03/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Director - Candyce BrizzolaraTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced case management inspection to the above mentioned facility on 03/05/25. LPA began inspection at 12:00PM with Director, Candyce Brizzolara, who guided analyst on a tour of the facility. LPA observed 4 adults and 31 children in care. The physical plant of the center was observed to be in compliance with California Code of Regulation (CCR) Title 22.

The purpose of this visit is to review background clearances for adults present in the child care center. LPA advised Director that S2 was not on the association list. Director provided document titled DOJ Applicant Fingerprint Response dated 04/19/22. LPA advised Director that response document from DOJ is not proof of an individuals Criminal Background Clearance. Per Guardian search, S2 had fingerprints taken, but background clearance was not issued. Application for background clearance was closed 07/2022. Both Director and S2 confirmed that S2 has been employed as a teacher for almost 3 years at the childcare center.

LPA advised Director that a Type A citation under California Code of Regulation (CCR) section 101170(a)(2)(D) will be issued.

LPA R. Derraco informed Director Candyce Brizzolara that this report dated 03/05/25 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA R. Derraco informed the Director Candyce Brizzolara to provide a copy of this licensing report dated 03/05/25 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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 3
Document Has Been Signed on 03/05/2025 01:25 PM - It Cannot Be Edited


Created By: Randy Derraco On 03/05/2025 at 11:48 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MARINA MONTESSORI SCHOOL
FACILITY NUMBER: 198002033

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/06/2025
Section Cited
CCR
101170

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101170 Criminal Record Clearance (a) The Dept shall conduct a criminal record review...(2) Section 1596.871(b) of the HSC... (D)Any... employee who has contact with children. This requirement is not met as evidenced by:
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POC visit
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Based on observation, interview and record review, the S2 did not obtain criminal record clearance prior to employment which poses an immediate Health, safety and/or personal rights risk to persons 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:Denise Gibbs
LICENSING EVALUATOR NAME:Randy Derraco
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2025


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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MARINA MONTESSORI SCHOOL
FACILITY NUMBER: 198002033
VISIT DATE: 03/05/2025
NARRATIVE
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Notice of site visit was given and must remain posted for 30 days

Exit interview conducted and report reviewed with Director, Candyce Brizzolara.

(page 2 of 2)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025
LIC809 (FAS) - (06/04)
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