<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416028
Report Date: 05/23/2024
Date Signed: 05/28/2024 09:01:04 AM

Document Has Been Signed on 05/28/2024 09:01 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:WEST VALLEY MONTESSORIFACILITY NUMBER:
197416028
ADMINISTRATOR/
DIRECTOR:		JEWEL FERRERFACILITY TYPE:
850
ADDRESS:20211 SATICOY STREETTELEPHONE:
(818) 341-5655
CITY:WINNETKASTATE: CAZIP CODE:
91306
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 25DATE:
05/23/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Jewel Ferrer, DirectorTIME VISIT/
INSPECTION COMPLETED:
06:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Required 3 year inspection. LPA met with Director Jewel Ferrer who guided analyst on tour of the facility. This is a preschool program serving up to 35 children. The facility operates Monday – Friday from 7:00 AM – 6:00 PM. The entrance to the facility is locked and parents enter using a call/buzzer system.

All areas identified on the Facility Sketch were inspected. LPA observed the following classroom ratios: Room 1 Pre K 2 (1 Teacher and 7 children); Room 2 - PreK 1 ( 1 Teachers and 9 children); Room 3 - Toddler (1 Staff and 9 Children). LPA observed teacher-child ratios in compliance and staff fingerprints have the required clearances at this time.

LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. Napping mats are stored in the office with bedding removed. Sheets and blankets were observed in individual cubbies in each classroom. Bedding is taken by parents on a weekly basis and as needed for laundering. LPA observed drinking water with drinking bottles/cups readily available in the classrooms. Age appropriate restrooms, sinks and toilets were inspected for good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition.

LPA reminded Director to always store items such as hand sanitizer, cleaners and similar items in inaccessible areas or locked cabinets. The indoor classrooms have surfaces that appear to be clean and safe and there are age appropriate toys and material for children to use.

There are first aid supplies in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility. Carbon Monoxide detectors were tested and found operable.

Medicines are stored in the office in overhead cabinet inaccessible to children in care. The office is used as an isolation area for ill children, the staff restroom is available for ill children. Page 1 - Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2024
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 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028
VISIT DATE: 05/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The outdoor play area is enclosed. Areas around and under climbing equipment have mats and cushoin to cushion a fall. All play equipment, toys, materials and surfaces accessible to children appear to be age appropriate and toxic free. LPA observed 2 separate holes in the astro tuft by play structure posing a potential risk to safety of children in care.

Meal and Snack menus are posted at least one week in advance and are visible to an authorized representative. The facility provides breakfast, lunch and AM and PM snacks. Once a week the facility provided hot lunch from vendor. Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. LPA informed Site Supervisor to constantly assess expiration dates on food items that are removed from original packaging and document. Trash receptacles have tight fitting covers.


Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are required to be locked and/or inaccessible. LPA observed a fire extinguisher in the hallway due for service 4/1/24.

LPA observed paper sign in and sign out to ensure children are being properly signed in and signed out by the authorized representative. LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc.on file. Six out of Six files reviewed were missing the Physician Report, posing a potential risk to the health of children in care. The children's roster was available and current.

Staff Records were reviewed to ensure the following: 2 out 4 staff present have not completed any ECE units and are not enrolled in any ECE classes, 3 out of 4 staff did not have records of the required immunizations, 4 out of 4 staff present did not complete the Mandated Reporter AB1207 training, which poses a potential health, safety or personal rights risk to persons in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretation and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.

Page 2 Report Continues

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC809 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028
VISIT DATE: 05/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA discussed the following: Mandatory forms for the children’s files and staff files, requirements for fire drills, earthquake drill conducted in April of 2024. Role and responsibilities of being a Mandated Reporter were reviewed.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information. All care for children require supervision at all times. If away from the facility, staff must be with children at all times (especially when outdoors).

The Facility DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPA observed that the facility has filtered drinking water using a commercial filter, the licensee called the company and company representative verbally confirmed that the filter filters out lead. The company will send a written confirmation. LPA will conduct a subsequent visit if needed.

There were seven (7) Type B violation cited during this visit. Facility Representative was reminded that deficiencies cited need to be corrected to ensure the health and safety of children in care.

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.

Exit interview was conducted with Director Jewel Ferrer and a copy of Appeal Rights (LIC 9058) was discussed and provided.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 05/28/2024 09:01 AM - It Cannot Be Edited


Created By: Alicia Mooberry On 05/23/2024 at 04:29 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in that the facility has not completed the water Lead testing as required, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024
Plan of Correction
1
2
3
4
Per licensee, they are on a waiting list for the lead testing company. LPA observed that the facility used a water dispenser with filtration equipment.
Type B
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above in that there are two separate holes on the astro turf which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024
Plan of Correction
1
2
3
4
Per licensee, the holes will be fixed and photo of correction will be sent to LPA by POC due date.
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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2024


LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 05/28/2024 09:01 AM - It Cannot Be Edited


Created By: Alicia Mooberry On 05/23/2024 at 04:29 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in the 4 out of 4 staff present did not complete the Mandated Reporter AB1207 training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024
Plan of Correction
1
2
3
4
Per facility representative, Staff #1, #2, #3, and #4 will completed the required Mandated Reporter Training AB1207 and send the certifciate to LPA by POC due date.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review and interview, the licensee did not comply with the section cited above in that 3 out of 4 staff did not have records of the required immunizations which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024
Plan of Correction
1
2
3
4
Per licensee, Staff #1, #3, #4 will provide proof of MMR, TDap immunizations and/or TB Clearance. Proof of corrections will be sent to LPA via email by POC due date.
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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2024


LIC809 (FAS) - (06/04)
Page: 5 of 8
Document Has Been Signed on 05/28/2024 09:01 AM - It Cannot Be Edited


Created By: Alicia Mooberry On 05/23/2024 at 04:29 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above in that the CPR/1st Aid training cards in 4 out of 4 staff files is not EMSA approved which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/06/2024
Plan of Correction
1
2
3
4
During this inspection, Director, Jewel Ferrer, called the CPR/1st Aid trainer and requested they send proof of EMSA complaince. The proof of correction will be sent to LPA's email by POC due date.
Type B
Section Cited
CCR
101216.1(b)(1)
Teacher Qualifications and Duties
(b) Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2) below: (1) A teacher shall have completed, with passing grades, at least six postsecondary semester or equivalent quarter units of the education requirement specified in (c)(1) below; or shall have obtained a Child Development Assistant Permit issued by the California Commission on Teacher Credentialing.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above in that 2 out 4 staff present have not completed any ECE units and are not enrolled in any ECE classes which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/27/2024
Plan of Correction
1
2
3
4
Per licensee, Staff #3 and #4 will not be in the classroom with children in care unsupervised and will serve as volunteers until the they are enrolled in ECE classes. An updated LIC 500, removing volunteers from center's staffing plan, will be provided to LPA by POC due date.
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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2024


LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 05/28/2024 09:01 AM - It Cannot Be Edited


Created By: Alicia Mooberry On 05/23/2024 at 04:29 PM
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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in the 6 out of 6 records reviewed did not have the completed LIC 701 Physician's Report which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/24/2024
Plan of Correction
1
2
3
4
Per licensee, the facility will request a written medical assessment from parents of children in care. The completed LIC 701 Physican's Report for Child #1-Child #6 will be sent to LPA by POC due date
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2024


LIC809 (FAS) - (06/04)
Page: 7 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WEST VALLEY MONTESSORI
FACILITY NUMBER: 197416028
VISIT DATE: 05/23/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Children are using the back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with including a plastic play structure, which is anchored to the ground with cushioned material under structure. LPA did not observe any objects that could be hazardous to children in care. The facility does not have a pool or similar bodies of water. Per licensee pets in the home. Per licensee, the family dog kept in off limit area of home, inaccessible to children in care during daycare hours.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, and documentation of 15-minute Infant Sleep Check (0-24 months)

Staff records were reviewed for approved Pediatric First Aid and CPR certification, LIC-501: Personnel Record, LIC 508-Criminal Record Statement, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse and current Mandated Reporter Training Certificate.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: https://www.ada.gov/resources/child-care-centers/

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC809 (FAS) - (06/04)
Page: 8 of 8