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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020876
Report Date: 10/08/2024
Date Signed: 10/08/2024 10:56:08 AM

Document Has Been Signed on 10/08/2024 10:56 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:BLOSSOM MONTESSORIFACILITY NUMBER:
198020876
ADMINISTRATOR/
DIRECTOR:		CATHERINE ZENOFACILITY TYPE:
850
ADDRESS:5158 YORK BLVDTELEPHONE:
(225) 931-3563
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 36DATE:
10/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Catherine ZenoTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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On 10/08/2024 at 10:15 am, Licensing Program Analyst (LPA), Crystal Green conducted an unannounced Case Management inspection for an increase in capacity. LPA met with Licensee Representative Catherine Zeno. This facility is currently licensed as a preschool program with a capacity of 42 children serving ages 2 until entry into first grade in classrooms A and B. The Licensee, Blossom Montessori, has requested to increase their existing preschool capacity to 45 children serving ages 2 to 6 years old in classrooms A and B. Hours of operation will be Monday to Friday from 7:30 am to 6 pm.

Present during today’s inspection were 36 children with 8 staff. Appropriate ratios and supervision were observed. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Licensee Representative that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.

LPA continued to tour the facility and inspect the indoor classrooms. Total indoor activity space measured 1,878.94 square footage, which is sufficient to accommodate the requested increase of capacity. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water dispenser and child’s personal water bottles. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 9/10/2024.

LPA observed a total of 4 sinks and 4 toilets available for children’s use. These are sufficient to accommodate the requested capacity of 45 children.
Report Continues Page 1 of 2.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: BLOSSOM MONTESSORI
FACILITY NUMBER: 198020876
VISIT DATE: 10/08/2024
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The facility currently has a fully fenced playground area. Fencing is made of wood which was observed to be at least four feet high. The total square footage for outdoor playground is 3,745.45 square footage, which can accommodate the requested capacity. Shade is provided via shade structure. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. Drinking water is available via child’s personal water bottles. LPA observed all hazardous items on the playground to be inaccessible to children. Facility Representative was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

No corrections are needed. Upon a final file review, the Licensee's request to serve 45 children from ages 2 to 6 years in classrooms A and B will be granted.

Exit interview conducted and report was reviewed with the Licensee Representative, Catherino Zeno.

A notice of site visit was given to Licensee Representative, Catherine Zeno, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.













Report Ends Page 2 of 2.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2