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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016141
Report Date: 11/21/2024
Date Signed: 11/21/2024 09:49:51 AM

Document Has Been Signed on 11/21/2024 09:49 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MONTESSORI SCHOOL OF HACIENDA HEIGHTSFACILITY NUMBER:
198016141
ADMINISTRATOR/
DIRECTOR:		ENOKA ATTALEFACILITY TYPE:
850
ADDRESS:15207 E. LOS ROBLES AVENUETELEPHONE:
(626) 968-0500
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY: 122TOTAL ENROLLED CHILDREN: 32CENSUS: 27DATE:
11/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Enoka Attale, DirectorTIME VISIT/
INSPECTION COMPLETED:
10:05 AM
NARRATIVE
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On 11/21/2024, Licensing Program Analysts (LPA) Kruz Long conducted an unannounced case management visit. A COVID-19 risk assessment was conducted. LPA met with Enoka Attale, Director. There are 14 children with 2 staff members in classroom #3 during today's visit.

The purpose of the visit is to deliver investigation findings for a complaint received on 09/05/24 which was filed under the incorrect license number (198016142). The correct license number is 198016141. The allegations are for personnel requirements and medication.

During the course of the investigation, LPAs Kruz Long and Monique Ayala toured classroom #3, interviewed Staff #1 (S1) to Staff #3 (S3) in the office, reviewed records and medication for Child #1 (C1). LPAs toured the assigned classroom of C1 an observed C1’s medications to be centrally stored in the classroom cabinet with administration instructions. Per Director, all children’s medication is accounted for and stored.

Regarding the allegation: Staff are not properly trained to meet day care child's medical needs. Reporting Party (RP) alleges that S1-S3 were not aware of C1’s medical needs or how to administer medication prescribed to C1. RP states that upon C1's transition to another class, staff was unaware of C1's medication. Interview with S1 indicate that C1 was transferred from Classroom #2 to Classroom #3 on August 26, 2024. C1’s medication was also transferred and stored in Classroom #3. According to S2 and S3, they were aware of C1’s medication after speaking to RP, however, staff stated that they were not trained about C1’s specific medication needs until August 29, 2024.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTESSORI SCHOOL OF HACIENDA HEIGHTS
FACILITY NUMBER: 198016141
VISIT DATE: 11/21/2024
NARRATIVE
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Based on LPA’s observations, record review and interviews which were conducted, the preponderance of the evidence standard has been met, therefore the allegation: Staff are not properly trained to meet day care child's medical needs is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, Article 06 are being cited on the attached LIC809D.

Exit interview conduct with the Director and a copy of this report and appeal rights provided. A Notice of Site visit was also provided and must be posted for 30 days.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/21/2024 09:49 AM - It Cannot Be Edited


Created By: Kruz Long On 11/21/2024 at 09:10 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI SCHOOL OF HACIENDA HEIGHTS
FACILITY NUMBER: 198016141

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2024
Section Cited
CCR
101216(a)

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101216 Personnel Requirements
(a) Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs.
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Licensee shall ensure that staff will be property trained to prevent incidents of this nature from happeneing in the future and willl provide a signed declaration to the department by the POC date.
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This requirement is not met as evidenced by: Staff are not properly trained to meet day care child's medical needs.
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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:Ana Chico
LICENSING EVALUATOR NAME:Kruz Long
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024


LIC809 (FAS) - (06/04)
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