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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844655
Report Date: 07/09/2021
Date Signed: 07/09/2021 01:31:31 PM

Document Has Been Signed on 07/09/2021 01:31 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:WHIZ KIDS MONTESSORI SCHOOLFACILITY NUMBER:
364844655
ADMINISTRATOR:CHAMARTY,KATYAINIFACILITY TYPE:
830
ADDRESS:14260 CHINO HILLS PKWY.TELEPHONE:
(909) 450-7187
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
07/09/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:39 AM
MET WITH:Kathy ChamartyTIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Kim Leung and Samuel Lopez conducted a case management inspection at the facility. Upon arrival, LPAs met with licensee/director Kathy Chamarty and toured facility taking census and verified criminal record clearances.

During inspection on 4/30/2021, facility was cited for failure to comply with mandated reporter training requirements and employee immunization requirements. Complete proof of corrections was not received after the due dates. Follow up email was sent to the licensee on 6/22/2021 as a reminder. However, complete evidence of corrections still have not been received. During this inspection, LPAs reviewed staff records and the required Mandated Reporter Training Certificate for one of the staff member was found on file. Licensee stated that the other staff member, Staff 2 has not completed the required training yet and licensee agreed to submit training certificate for Staff 2 to Community Care Licensing no later than 7/12/2021. During this inspection, LPAs reviewed staff records and observed no immunization against influenza or declination statement for Staff 1 and Staff 2. During inspection this date, licensee stated that she talked with Staff 1 and Staff 2 and she was told that Staff 1 has taken the immunization and agreed to provide proof to the facility. Licensee stated that Staff 2 has not taken the immunization against influenza the year before or this year yet. Licensee stated that Staff 2 preferred to take a flu and would not decline. See LIC809D for the repeat deficiency cited.

A Civil Penalty has been assessed for repeat violation. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2021
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 3
Document Has Been Signed on 07/09/2021 01:31 PM - It Cannot Be Edited


Created By: Kim Leung On 07/09/2021 at 11:53 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: WHIZ KIDS MONTESSORI SCHOOL
FACILITY NUMBER: 364844655

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/12/2021
Section Cited
CCR
101416.5(b)

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Infant Care Aide Qualifications and Duties. An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1). This requirement was not met as evidenced by:
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Licensee Katyaini Chamarty agreed to ensure that children are supervised by sufficient qualified teaching staff. Written plan of correction along with staff schedules will be submitted to Community Care Licensing by next business day on 7/12/2021.
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Facility had a partially qualified teacher and teacher's aides supervising more than 4 and up to 8 infants without a fully qualified teacher present in the same activity area while licensee was not present at the facility. That presented potential risks to the infants health, safety and well-being.
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Type B
07/09/2021
Section Cited
HSC1596.7995

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SB792. Effective 9/1/2016, a person may not be employed or volunteer at a child care facility unless he/she has been immunized against influenza, pertussis and measles...This requirement was not met as evidenced by: Immunization record against influenza for Staff 1 and Staff 2 were not available for review.
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Failure to comply with the Health and Safety Code presents potential risks to the health and safety of children.
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Licensee stated that she talked with Staff 1 and Staff 2 and she was told that Staff 1 has taken the immunization and agreed to provide proof to the facility. Licensee stated that Staff 2 has not taken the immunization against influenza the year before or this year yet. Licensee stated that Staff 2 preferred to take a flu and would not decline.
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This is a repeat violation. Facility was cited for the same deficiency on 4/30/2021 and facility was required to submit proof of correction by 5/14/2021. CIVIL PENALTY OF $250 WOULD BE ASSESSED. Licensee Kayaini Chamarty agreed to submit the immunization records to correct the deficiency.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Kim Leung
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2021


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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: WHIZ KIDS MONTESSORI SCHOOL
FACILITY NUMBER: 364844655
VISIT DATE: 07/09/2021
NARRATIVE
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During inspection, licensee stated that she usually left the facility each day at approximately 12:30pm and she returned to the facility in the afternoon only on as needed basis. Information received during the inspection including from interviews and record review revealed that the facility had a partially qualified teacher and teacher's aides supervising more than 4 and up to 8 infants while licensee was not present at the facility. See LIC809D for deficiency cited.

During the Noncompliance Conference held on 5/4/2021, licensee agreed to complete outside training on infant care and services, safe sleep practice and maintaining safe environment for infants. Licensee also agreed to arrange the same outside training for all facility staff. Licensee agreed to submit proof of training including training agenda, training material and training certificates for each staff member upon completion of the training by 7/31/2021. Licensee stated that the training has been completed. However, training materials and certificates have not been received yet. During this inspection, licensee was reminded that the training materials and certificates are due on 7/31/2021.

As stated by the licensee during inspection on 4/30/2021, facility has resurfaced the playground in 2020. During the Noncompliance Conference on 5/4/2021, licensee agreed to submit the invoice for the installation of playground cushioning material and provide details on the material used on the surface and underneath by 5/11/2021. Invoice was received on 6/24/2021 without any information on the material used. During this inspection, LPAs observed synthetic grass with rubber filler and sand underneath covering the entire infant playground.

Licensee was advised to visit the following websites for information and guidance on safe sleep practices:
https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative
https://safetosleep.nichd.nih.gov/materials

An exit interview was conducted with Ms. Chamarty. A copy of this report was provided to the licensee representatives. Appeal rights were explained to the licensee. Notice of Site Visit was issued and it must be posted at the facility for 30 days. A copy of this report must be made available at the facility for 3 years for public review upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021
LIC809 (FAS) - (06/04)
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