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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419378
Report Date: 06/04/2024
Date Signed: 06/04/2024 02:19:30 PM

Document Has Been Signed on 06/04/2024 02:19 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:RISE MONTESSORI SCHOOLFACILITY NUMBER:
197419378
ADMINISTRATOR/
DIRECTOR:		GUIVATCHIAN, AKRAMFACILITY TYPE:
850
ADDRESS:7120 REMMET AVENUETELEPHONE:
(818) 426-7988
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 4DATE:
06/04/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Akram Guivatchian, AdministratorTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced case management inspection. LPA met with Anvar Jourabchi, Assistant Administrator & Akram Guivatchian Administrator who guided analyst on tour of the facility. The facility operates Monday through Friday from 7:30am to 2:30pm. The entrance to the facility is locked and parents and visitors enter by using using a call/buzzer system. There is a school age program on the premises (#197419377) that runs from 2:30pm to 4:30pm. There is also an Elementary School on the premises that runs from 7:30am to 2:30pm.

LPA come to conduct an annual inspection for School- Age program 197419377 when LPA observed at 12:00pm that 4 Elementary School students were in the preschool playground. At 12:05pm, LPA observed a Elementary School Student walk into the Preschool classroom to obtain there belongings. LPA reminded staff that co- mingling is not allowed. Consult was provided. Type A was cited.

Based on LPAs the facility is being cited under the California Code of Regulations, (Title 22, Division 12, Chapter number 1) are being cited on the attached LIC 809 D.



The Administrator was provided with LIC 9224 Parent Acknowledgement of Report Received.
A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC 9224) shall be in each child’s file, acknowledging receipt.
An exit interview was conducted and report was reviewed with the Administrator. Appeal rights were discussed and proved to the Administrator.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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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Document Has Been Signed on 06/04/2024 02:19 PM - It Cannot Be Edited


Created By: Susann Sanchez On 06/04/2024 at 12:34 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: RISE MONTESSORI SCHOOL
FACILITY NUMBER: 197419378

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/05/2024
Section Cited
CCR
101161(a)

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101161 Limitations on Capacity (a)
A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by: LPA observations of children
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Per Administrator, the facility will review Title 22 regulation 101161(a) and will ensure they adhere to title 22 section 101161(a). Administrator stated that she will submit a wavier to the department to use the preschool playground while preschoolers are having lunch.
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 co-mingling at 12:00pm, LPA observed 4 elementary children in the preschool playground. At 12:05pm LPA obderved a elementary child going into the preschool classroom to obtain there belongings. This is a immediate risk to the health and safety of the children in care.
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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:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024


LIC809 (FAS) - (06/04)
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