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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016141
Report Date: 05/10/2023
Date Signed: 05/10/2023 01:48:21 PM

Document Has Been Signed on 05/10/2023 01:48 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:MONTESSORI SCHOOL OF HACIENDA HEIGHTSFACILITY NUMBER:
198016141
ADMINISTRATOR:ENOKA ATTALEFACILITY TYPE:
850
ADDRESS:15207 E. LOS ROBLES AVENUETELEPHONE:
(626) 968-0500
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY: 122TOTAL ENROLLED CHILDREN: 50CENSUS: 38DATE:
05/10/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Enoka AttaleTIME COMPLETED:
02:00 PM
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On 5/10/2023 at 12:30 PM. Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced POC (plan of correction) inspection to ensure that a Type B deficiency cited on 04/06/2023 for a lead exceedance has been cleared. A COVID risk assessment was conducted upon entry and appropriate PPE was used. LPA met with Director, Enoka Attale. LPA observed 38 children and 5 staff present at the facility during this inspection.

During the visit LPA was provided testing results for the kitchen sink that was below the 5.5 parts per billion. LPA advised Director that the kitchen sink can be used by staff. LPA took a photo of area where drinking fountain had been prior, but has now been removed, that is located outside of the first preschool classroom. Director also sent LPA an email with documentation demonstrating that lead exceedance had been repaired.

LPA cleared the deficiency on this date and provided a copy to the Director of the POC clearance letter during the visit.

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

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 Director, Enoka Attale.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2023
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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