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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012252
Report Date: 01/28/2022
Date Signed: 01/31/2022 10:12:02 AM

Document Has Been Signed on 01/31/2022 10:12 AM - 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:CHILDREN'S MONTESSORI CENTERFACILITY NUMBER:
198012252
ADMINISTRATOR:CYNTHIA REIMERSFACILITY TYPE:
830
ADDRESS:19 N. HIDALGO AVENUETELEPHONE:
(626) 282-8258
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
01/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Cynthia ReimersTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Crystal Green conducted an unannounced case management licensee initiated inspection to inspect and measure facility for capacity increase determination. Licensee is requesting to increase capacity to their existing license. Due to COVID- 19 precautionary measures were taken, individuals present during inspection wore appropriate personal protective equipment. Licensing staff met with Director, Cynthia Reimers. There is also a preschool program (198012250) that operates on the same premises as the infant program.

LPA was provided a tour of the facility’s existing licensed infants areas and the proposed additional classroom space. The existing classroom licensed for use under the infant program is named the Red Room. Per Director, licensee is requesting to add an additional Infant classroom to the current license which will be named the Green Room. During this inspection, LPA observed 6 infants napping in the Red Room with 2 staff members. The facility was observed to be operating within its licensed capacity. LPA inspected the Green Room and observed a changing table available along with age appropriate furniture. Toys were observed to be clean and safe. LPA observed the Infant designated areas to be physically separate from the Preschool designated areas.

There is adequate shade in the outdoor play area. The outdoor play equipment was observed to be in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards.

At this time, the facility was observed to be operating in compliance with California Title 22 Regulations. The classrooms that will be licensed for use by Infants will be the Red Room and the Green Room. An approved Fire Clearance has been received by the department and the new capacity for the Infant program will be increased to (Sixteen) 16 infants.
Report Continues Page 1 of 2.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2022
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: CHILDREN'S MONTESSORI CENTER
FACILITY NUMBER: 198012252
VISIT DATE: 01/28/2022
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An exit interview was conducted with the Director, Cynthia Reimers. A copy of this report along with appeal rights and the Notice of Site Visit were provided to the Director.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Report Ends Page 2 of 2.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
LIC809 (FAS) - (06/04)
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