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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417032
Report Date: 03/05/2025
Date Signed: 03/05/2025 11:42:48 AM

Document Has Been Signed on 03/05/2025 11:42 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: 9DATE:
03/05/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Anna Erbe, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 03/05/2025 at 11:00 AM, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced Plan of Correction (POC) Visit. LPA identified self and met with Anna Erbe, Director. LPA identified reason for visit and toured the inside and outside of the facility. There were 9 children and 3 staff present.

During today's visit, LPA cleared the Plan of Correction for the three Type B Deficiencies cited on 01/27/2025 for 101439.1(g) Infant Care Center Sleeping Equipment, 101419.2(a) Infant Needs and Services Plan and 101419.2(b)(2) Infant Needs and Services Plan.

LPA obtained copies of the the Infant Needs and Services Plans, LPA reviewed Infant Needs and Service Plans were observed in the children's files and observed the infant sleeping area has a walkway sufficient for staff to walk between cribs (photos taken) in the Infant Classroom and provided facility representative with POC Cleared Letters.

A Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to comply with posting requirement will result in an immediate civil penalty of $100.00.

Exit interview was conducted with Anna Erbe, Director including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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