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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417032
Report Date: 06/03/2024
Date Signed: 09/18/2024 10:20:37 AM

Document Has Been Signed on 09/18/2024 10:20 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:MONTESSORI OF CHATSWORTHFACILITY NUMBER:
197417032
ADMINISTRATOR/
DIRECTOR:		ERBE, ANNAFACILITY TYPE:
830
ADDRESS:10616 ANDORA AVENUETELEPHONE:
(818) 709-2980
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 54DATE:
06/03/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:16 AM
MET WITH:Anna ErbeTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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This is report is being amended to add 809 D page from LIC 9099 created on 6/3/24.



On 6/3/24 at 8:15 AM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management deficiencies visit, Director Anna Erbe led LPA on a tour.

LPA Lipsey observed 54 children, being supervised by 12 staff members.

LPA observed 2 infants under 12 months sleeping at the scheduled nap time. Staff disclosed all children are put down for nap at 11:50am each day. A type B deficiency was sited.

LPA viewed video and a photo where infants were seen sleeping in swings and not taken to a crib after falling asleep. A type B deficiency was sited. See LIC9099-D for deficiency cited.

Exit interview conducted and report was reviewed with Director, Anna Erbe on 06/03/24.  A copy of this report, along with Appeal Rights, were provided. A notice of site visit was given to the Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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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