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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003766
Report Date: 04/22/2025
Date Signed: 04/22/2025 05:24:46 PM

Document Has Been Signed on 04/22/2025 05:24 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:NEW MONTESSORI SCHOOL, THEFACILITY NUMBER:
198003766
ADMINISTRATOR/
DIRECTOR:		GERALDINE SHAUGHNESSYFACILITY TYPE:
840
ADDRESS:15243 E. NELSON AVENUETELEPHONE:
(626) 369-4335
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
04/22/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:GERALDINE SHAUGHNESSY & STEPHANIE MARTINEZTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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On 04/22/2025, at 1:15 PM Licensing Program Analyst (LPA) Carolyn Tuba and Licensing Program Manager (LPM), Ana Chico conducted an unannounced required inspection for a school-age program. There is also a preschool program on the premises. LPA and LPM entered facility through the main gates that require a code to enter. LPA and LPM met with Director, Geraldine Shaughnessy and staff member Stephanie Martinez. LPA and LPM observed a census of 0 children at the time of the visit, however the Elementary School was operating with 9 children in care and 1 staff member. During the course of the visit 3 children that are enrolled with the after-school program arrived who had been picked up from a local elementary school.

The following classrooms were inspected: Main school-age classroom located off the main lobby of the school office.

All staff members were fingerprint cleared. Licensed facility is within the conditions, limitations, and capacity specified on the license. The program takes care of children ages Kindergarten through 12 years of age. Hours of operation are from 3:00 pm – 5:30 pm and on early release days daycare begins at 1:30 pm.

During the visit LPA and LPM toured and took photos of the classroom. Licensing advised that according to the Fire Clearance no more then 20 children between afterschool and elementary school program can occupy the classroom. The Department will request a fire clearance inspection to obtain a maximum capacity for the school-age license. Licensing will have further discussions after the fire clearance is received. The Owner, Gawal Tawfik who arrived at approximately 2:30 pm discussed with the LPA of the possibility of
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 04/22/2025 05:24 PM - It Cannot Be Edited


Created By: Carolyn Tuba On 04/22/2025 at 04:33 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: NEW MONTESSORI SCHOOL, THE
FACILITY NUMBER: 198003766

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2025

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
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3
4
Based on record review, the licensee did not comply with the section cited above in 4 staff members' Mandated Reporting Certificates Expired on 4/2024 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/06/2025
Plan of Correction
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Director will provide copies of the Mandated Reporter Training Certificates to the LPA.
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
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Based on record review, the licensee did not comply with the section cited above in CPR/1st Aid but were not EMSA approved which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/22/2025
Plan of Correction
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Director will provide copies of the CPR/1st Aid EMSA approved.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Katrina Chicote
NAME OF LICENSING PROGRAM MANAGER:
Carolyn Tuba
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2025


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: NEW MONTESSORI SCHOOL, THE
FACILITY NUMBER: 198003766
VISIT DATE: 04/22/2025
NARRATIVE
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which includes requesting the fire clearance to get the maximum capacity and have the Elementary Program end at 2:30 pm and have those children be enrolled in the school-age program beginning at 2:30 pm - 5:30 pm. According to the Owner the school-age program currently does not offer before school daycare, however it does offer a summer program so the children would then be enrolled as part of the school-age program. The Owner provided a copy of the email of the affidavit confirmation of the private schools from the California Education.

The classroom furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. Telephone service, heating, lighting, and ventilation were evaluated. Storage for children’s belongings was inspected and meet all regulatory requirements. Availability of drinking water was reviewed and per staff children can bring water from home and bottled water is also provided for refills.

Facility has a total of 4 toilets (2 toilets are located inside each bathroom side by side), according to staff member only 1 child is inside of the restroom, which has a door for privacy. There are 3 child size sinks located outside of the restroom.

Toys and surfaces are observed to be safe and clean. Staff restroom is available near the main entrance by the school office. The parents sign-in and-out sheets are located by the main entrance of the facility. Director was reminded to have parents use full signatures.

Combo carbon monoxide and smoke detectors were present in the facility and are tested annually by the Fire Department. Fire extinguishers were last serviced June 3, 2024. Storage cabinets in classrooms were inspected and no hazardous items were found, cleaning items were located on the top shelves of the classroom and inaccessible to children in care. No poisonous cleaning compounds were found in the childcare center. Emergency disaster drill was last conducted and documented in April 2025. There is a First Aid kit available in the classroom; the supplies were inventoried and found to be in good condition.

Food preparation areas were toured for safety, cleanliness, and proper equipment. PM snacks are served by the facility, lunch is provided during the summer, or children may bring from home. Menu is posted in the main lobby of the facility. There is a full size refrigerator and adult sink located in the classroom. LPA observed parent board with all required documentation located in the main area of the facility.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: NEW MONTESSORI SCHOOL, THE
FACILITY NUMBER: 198003766
VISIT DATE: 04/22/2025
NARRATIVE
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LPA was informed that there are currently no children on medication, but IMS was discussed. Should medication be needed then it is kept in the school office.

Outdoor playground equipment is in safe condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is currently 1 playground with play equipment and is surrounded by an iron fence. All areas around or under climbing equipment, slides, and similar equipment are cushioned with artificial grass. There is adequate shade in the play yard with trees and an awning. There are picnic tables for eating or doing activities. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

LPA reviewed staff records and found that they were complete however 4 staff members had expired Mandated Reporter Training, and 2 staff members had current Pediatric CPR/1st Aid, however it was not EMSA approved. Clearance for adults, educational requirements, immunization records and health preventative practices documentation was reviewed and found to be complete.

Children’s records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file and were complete.

The facility provides transportation and currently has 2 vans that are checked and maintained monthly including oil changes, car fluids and tires. LPA discussed with the Owner to confirm that drivers that are licensed and have all the necessary documentation including CPR/1st aid (EMSA approved) since they would be alone with children, as well as pulling and confirming good driving records.

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: NEW MONTESSORI SCHOOL, THE
FACILITY NUMBER: 198003766
VISIT DATE: 04/22/2025
NARRATIVE
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AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers. LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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.

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/.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Please see LIC809-D pages for deficiencies cited during today's visit in accordance with the California Code of Regulations Title 22, Division 12, Chapter 1.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Geraldine Shaughnessy.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025
LIC809 (FAS) - (06/04)
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