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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018751
Report Date: 03/03/2022
Date Signed: 03/03/2022 04:36:37 PM

Document Has Been Signed on 03/03/2022 04:36 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:EAGLE ROCK MONTESSORI #3FACILITY NUMBER:
198018751
ADMINISTRATOR:UTE DE LARAFACILITY TYPE:
850
ADDRESS:1434 COLORADO BLVD.TELEPHONE:
(323) 739-0146
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 26DATE:
03/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ute De Lara, DirectorTIME COMPLETED:
02:40 PM
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On 3/3/2022 at 9:30AM, Licensing Program Analyst (LPA) Thelma Razo conducted an unannounced Required - 1 year inspection. LPA met with Assistant Director Kim De Lara and was later joined by Licensee/Director Ute De Lara and stated the purpose of the visit. A COVID-19 risk assessment was made prior to entry to the facility. LPA provided staff with a copy of the LIC 125 Entrance Checklist to facilitate the inspection. This is a preschool program which consists of one large classroom. Business hours are from Monday to Friday, 8:00 AM to 4:00 PM.
LPA was guided to a facility tour by Director and Assistant Director at 10:00AM. All areas identified on the Facility Sketch were inspected. There was a big classroom called the dome in the facility. There were 2 staff with 13 children in the classroom and 13 children with 2 staff in outdoor play area during this inspection: The facility was observed to be within the license capacity and limitations.

The following were observed during the tour of the facility:
Furniture and equipment were inspected for age appropriateness and good repair, telephone service, central air and heating, lighting and ventilation were evaluated. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic free. Per staff, there were no firearms stored on the premises and no pools or bodies of water. Children have their own cubby to store their belongings. Children bring their own blankets and sheets and have them sent home on Fridays. Per Director, the isolation area is in the dome/classroom in an enclosed area. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in the classroom. First Aid supplies were observed in the classroom.
Disinfectants, cleaning solutions, and other items that are dangerous to children were inaccessible. Director states that there are no poisons stored at the facility. Carbon monoxide detector was tested and was operable. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2022
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: EAGLE ROCK MONTESSORI #3
FACILITY NUMBER: 198018751
VISIT DATE: 03/03/2022
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Facility provides morning snacks and optional afternoon snacks since children bring their lunch and afternoon snacks. Menu was observed to be posted one week in advance.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Availability of outdoor drinking water was observed - children bring their own water bottle with facility providing refills. LPA advised that no children shall be left without the supervision of a teacher at any time.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The review of Staff records was documented on the LIC 859. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present have proof against TB, measles, pertussis, and influenza. All staff have been given on the-job training on sanitation principles, housekeeping, including universal health precautions.


Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in.

According to Director, there are currently no children on medication. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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: EAGLE ROCK MONTESSORI #3
FACILITY NUMBER: 198018751
VISIT DATE: 03/03/2022
NARRATIVE
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There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Ute De Lara.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
LIC809 (FAS) - (06/04)
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