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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020038
Report Date: 01/17/2024
Date Signed: 01/17/2024 02:40:30 PM

Document Has Been Signed on 01/17/2024 02:40 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 PRESCHOOL & ELEMENTARY INC.FACILITY NUMBER:
198020038
ADMINISTRATOR:NOELINE SHANMUGANFACILITY TYPE:
850
ADDRESS:4817 EAGLE ROCK BLVDTELEPHONE:
(323) 257-3709
CITY:LOS ANGELESSTATE: CAZIP CODE:
90041
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
01/17/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Assistant Director Vlasta BlahaTIME COMPLETED:
02:50 PM
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At 02:20 p.m. Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced POC (Plan of correction) inspection to ensure the Type B deficiencies cited on 11/09/23 has been cleared. LPA met with Vlasta Blaha, Assistant Director who guided analyst on a tour of the facility. There were 09 children present during the inspection. The following was observed:

-Facility deep cleaned the children's restroom to remove the urine smell, painted the wall inside the children's restroom, fixed the door that connects to the cubby room, and cleaned the refrigerator.

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 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 and report was reviewed with Assistant Director Vlasta Blaha.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/28/2023
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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