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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415306
Report Date: 09/10/2021
Date Signed: 09/10/2021 04:28:36 PM

Document Has Been Signed on 09/10/2021 04:28 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MONTESSORI OF CALABASASFACILITY NUMBER:
197415306
ADMINISTRATOR:NILOOFAR "NEE" ZARTOSHTYFACILITY TYPE:
850
ADDRESS:4277 OLD TOPANGA CANYON ROADTELEPHONE:
(818) 222-0232
CITY:CALABASASSTATE: CAZIP CODE:
91302
CAPACITY: 93TOTAL ENROLLED CHILDREN: 0CENSUS: 46DATE:
09/10/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:53 PM
MET WITH:Nee ZartoshyTIME COMPLETED:
04:45 PM
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Margarit Sislyan, Licensing Program Analyst (LPA) conducted an unannounced site visit.

During the visit LPA observed 46 children were outside with 4 adults. The director, Nee Zartoshy arrived at the facility when LPA was at the facility.

LPA conducted file review and observed the files were not complete. The director was not able to provide proof of qualifications of teachers, twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university.

A consultation was provided.
Licensee stated that all teachers that were present at the school are qualified.
Licensee will submit proof of qualifications to LPA within a week by 09/17/2021.

If the required documents will not be submitted by 9/17/2021 the facility will be sited accordingly.

Exit interview


SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Margarit Sislyan
LICENSING EVALUATOR SIGNATURE: DATE: 09/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2021
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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