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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016696
Report Date: 02/27/2024
Date Signed: 02/27/2024 02:55:47 PM

Document Has Been Signed on 02/27/2024 02:55 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:AMERICAN MONTESSORI PRESCHOOLFACILITY NUMBER:
198016696
ADMINISTRATOR:NOELINE SHANMUGANFACILITY TYPE:
830
ADDRESS:4817 EAGLE ROCK BLVD.TELEPHONE:
(323) 257-3709
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 5DATE:
02/27/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Assistant Director Vlasta BahaTIME COMPLETED:
03:15 PM
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At 02:15 p.m. Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced POC (Plan of correction) inspection to ensure the Type A deficiency cited on 02/22/24 has been cleared. LPA met with Vlasta Baha, Assistant Director who guided analyst on a tour of the facility. There were 05 infants napping during the inspection. The following was observed:

-Assistant director and aide are caring for 5 infants. During nap time, the aide was alone supervising the 05 infants. LPA advised the assistant director that only during nap time an aide can be left alone with 15 children.
-LPA observed children's files have a completed LIC 9224.
-LPA observed the Notice of Site visit was posted in the infant room.
-LPA received the written plan via email on 02/26/24.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency and issued a POC clearance letter.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies 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 and report was reviewed with assistant director, Vlasta Baha.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2024
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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