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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011204
Report Date: 03/10/2023
Date Signed: 03/10/2023 01:02:52 PM

Document Has Been Signed on 03/10/2023 01:02 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:INTERNATIONAL MONTESSORI PRESCHOOLFACILITY NUMBER:
198011204
ADMINISTRATOR:LAURIE SEGURAFACILITY TYPE:
850
ADDRESS:211 E. ARROW HWYTELEPHONE:
(909) 399-9222
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 48TOTAL ENROLLED CHILDREN: 30CENSUS: 25DATE:
03/10/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Yolanda MenaTIME COMPLETED:
01:15 PM
NARRATIVE
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On 3/10/2023 at 10:45 am Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced POC (plan of correction) inspection to ensure the 2 Type A deficiencies cited on 03/06/2023 for 1 complaint have been cleared. A COVID risk assessment was conducted upon entry and appropriate PPE was used. LPA met with acting Director, Yolanda Mena, who guided LPA and observed 25 children and 4 staff present at the facility during this inspection.

During the visit acting Director guided LPA who observed that lunchboxes, jackets, and water bottles are being kept in the classroom to avoid children wandering into the hallways to grab personal items unsupervised. LPA observed a child safety latch on 2 classroom doors that are used to change children’s diapers. One door is located near the children’s restroom and the other leads into the main classroom.

LPA scanned photos of the transcript and obtained copies from the acting Director for staff and they are found to be qualified teachers and have the necessary units. Acting Director shared with LPA that they are in the process of hiring additional staff so that she can handle the administrative duties until the current Director returns in May of 2023. Director shared that the parents have been encouraged to use the code on the door for drop-off and pick-up inside the facility instead of having staff meet parents at the entrance door.

LPA cleared the deficiency on this date and provided a copy of the Licensing Report to Yolanda Mena. LPA also issued POC clearance letters during the visit.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2023
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: INTERNATIONAL MONTESSORI PRESCHOOL
FACILITY NUMBER: 198011204
VISIT DATE: 03/10/2023
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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.

Exit interview conducted, appeal rights given and a copy of the report was reviewed and given to acting Director, Yolanda Mena.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2023
LIC809 (FAS) - (06/04)
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