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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417552
Report Date: 10/12/2022
Date Signed: 10/12/2022 04:32:13 PM

Document Has Been Signed on 10/12/2022 04:32 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MONTESSORI OF MALIBU CANYONFACILITY NUMBER:
197417552
ADMINISTRATOR:KAREN LEVYFACILITY TYPE:
850
ADDRESS:4029 LAS VIRGENES ROADTELEPHONE:
(818) 223-1706
CITY:CALABASASSTATE: CAZIP CODE:
91302
CAPACITY: 108TOTAL ENROLLED CHILDREN: 100CENSUS: 46DATE:
10/12/2022
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Karen Levy - DirectorTIME COMPLETED:
04:40 PM
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On 10/12/2022 Licensing Program Analyst (LPA), Suzette Ornelas conducted a continuation visit for the purpose of completing the required annual inspection. LPA met with Director, Karen Levy and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday 7a to 6p. Facility is equipped with a security camera system and security entry system.

LPA observed 46 children and 9 adults. All children are under supervision, including visual supervision, of a teacher at all times. Capacity and limitations as specified on the license are being maintained. LPA observed 5 licensed preschool classrooms on the premises. RM 1: Dolphin (2 year olds), RM 2 Orca (3year olds), RM 3 Polar Bear (5 year olds), RM 4 Otter (older 3’s-4 year olds), RM 5 Seal (4 year olds)

All areas identified on the Facility Sketch were inspected. The following staff were present during this inspection:


RM 1: 5 preschool children with a ratio of 1 teacher
RM 2: 12 preschool children with a ratio of 2 teachers
RM 3: 6 preschool children with a ratio of 1 teachers
RM 4: 11 preschool children with a ratio of 2 teachers
RM 5: 12 preschool children with a ratio of 1 teacher

LPA reviewed a sample of children’s files and observed files were complete. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. LPA reviewed a sample of staff files and observed files were complete.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.
This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2022
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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