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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003766
Report Date: 05/21/2025
Date Signed: 05/21/2025 04:38:27 PM

Document Has Been Signed on 05/21/2025 04:38 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: 14DATE:
05/21/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Stephanie Martinez & Geraldine ShaughnessyTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
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On 05/21/2025 at 02:30 pm, Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced POC (plan of correction) inspection to ensure the deficiency cited on 04/22/2025 during an annual visit has been corrected. LPA met with staff member, Stephanie Martinez. LPA observed 15 children and 2 staff during this visit. LPA also met with Director, Geraldine Shaughnessy.
LPA observed copies of the Mandated Reporter Training certificates for all staff members of files reviewed during the annual visit on 4/22/2025. The certificates expire ranging from 4/23/2027, 4/28/2027, 4/30/2027 and 5/5/2027. LPA reminded staff member and Director that the mandated reporter training must be completed every 2 years.

During this visit LPA remeasured the classroom to confirm the capacity of the space before a fire clearance is requested, however based on the square footage per child the space remains the same and the maximum capacity is 20 children based on measurements. The current fire clearance indicates a maximum capacity of 20 children as well. The classroom currently has a morning Elementary school day program and in the afternoon the facility offers afterschool care for the children in the community. The LPA consulted with both the staff member, Stephanie Martinez and the Director and explained that when the afterschool children arrive which is approximately 2:30 pm, and 2 additional days where children have early release at approximately 1:30 pm. The Elementary school children if staying would then be enrolled in the school-age program. LPA also advised it is best practice to notify parents, so they are aware of the change. The staff member disclosed that the summer program will begin next week, and the children will be part of the school-age summer program. Those children would be required to have all licensing documentation in their files, as well as proof of immunizations since the children do not attend an elementary school outside of this day program. Children will need to be signed in and out by parents as required. The facility is required to
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2025
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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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: 05/21/2025
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adhere to all Title 22 regulations. LPA confirmed with the staff member that any staff working in the school-age program is required to meet all School-Age Child Care Center Teacher Qualifications and Duties, immunizations (MMR, Tdap, TB and influenza or waiver for the influenza), Mandated Reporter Training and the Pediatric CPR/1st Aid EMSA approved is optional as long as they are not the opening or closing staff or left alone with the children in care.

LPA cleared the deficiency on this date and provided a copy of the Licensing Report to staff member and issued a POC clearance letter during the visit.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given 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: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC809 (FAS) - (06/04)
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