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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016141
Report Date: 05/24/2024
Date Signed: 05/24/2024 10:10:43 AM

Document Has Been Signed on 05/24/2024 10:10 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: 40CENSUS: 25DATE:
05/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Enoka Attale, Director TIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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On 05/24/2024, Licensing Program Analysts (LPAs) Kruz Long and Priscilla Ochoa conducted an unannounced case management inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPAs met with Enoka Attale, Director who guided LPAs on a tour of classroom #2 where the incident occurred. LPAs observed 10 children with 1 staff member in the classroom.

The purpose of the visit is to follow up on an incident that occurred on 05/16/2024 and was reported to the department on 05/17/2024 (reported timely). The self reported incident is regarding personal rights.

During this inspection LPAs toured classroom #2, interviewed Staff #1 (S1) and Staff #2 (S1) and attempted the interview Child #1 (C1).

There are no deficiencies being cited today as the incident requires further investigation.

An exit interview was conducted and a copy of this report and appeal rights was provided to the Director. A Notice of Site Visit was provided; Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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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