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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006301
Report Date: 02/12/2024
Date Signed: 02/12/2024 03:41:20 PM

Document Has Been Signed on 02/12/2024 03:41 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:FLINTRIDGE MONTESSORI PRE-SCHOOL & ELEMENTARY, INCFACILITY NUMBER:
198006301
ADMINISTRATOR:DAVID NIMALI ROHINIFACILITY TYPE:
850
ADDRESS:1739 FOOTHILL BOULEVARDTELEPHONE:
(818) 790-8844
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 85TOTAL ENROLLED CHILDREN: 80CENSUS: 53DATE:
02/12/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Rohini Nimali David, DirectorTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analysts (LPA), Anomeh Eivazian and Suzana Safaryan, conducted an unannounced case- management inspection to the above facility on 02/12/24 at 12:00 PM. LPAs met with Rohini Nimali David facility director who guided LPAs on a tour of the facility. During this inspection there were total of 53 children were present in the facility with nine staff.

Based on four staff interviews on this date, on 02/05/24 due to water leak and flood in classroom#2, all parents were contacted and school was closed on 02/05/24.

Based on four staff interviews on this date, due to water leak in classroom #2 on 02/05/24, classroom#2 children occupied classroom#5 (kindergarten classroom) on 02/06/24 and 02/07/24, which is not a licensed classroom by licensing.

Facility did not report 02/05/24 facility closure and temporary classroom#2 use of classroom#5 on 02/06/24 and 02/07/24 to the department.

The following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.



The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Joyce Young, teacher at 4:00 PM.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 02/12/2024 03:41 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 02/12/2024 at 02:48 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: FLINTRIDGE MONTESSORI PRE-SCHOOL & ELEMENTARY, INC
FACILITY NUMBER: 198006301

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/23/2024
Section Cited
CCR
101212(e)(4)

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101212 (e)(4)--Reporting Requirements
Any changes in the plan of operation that affect services to children.
This requirement was not met as evidenced by...
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Per teacher, Joyce Young facility will submit an unusual incident report for facility closure on 02/05/24 by plan of correction due date.
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Based on four staff interviews, on 02/05/24 due to water leak in classroom#2, facility was closed. Facility did not report facility closure on 02/05/24 to the department.
This poses a potential health, safety and personal right risk to the children in care.
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Type B
02/23/2024
Section Cited
CCR101152(l)(1)

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101152 Definitions
"License" means a written authorization by the Department to operate a child care center and to provide care and supervision. A license is not transferable.
This requirement was not met as evidence by...
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Per teacher, Joyce Young, they will not use unlicensed classroom from now on.
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Based on staff interview, on 02/06/24 and 02/07/24, classroom #2 children occupied classroom#5 (kindergarten classroom) due to water flood. Classroom#5 is not licensed classroom by licensing.
This poses a potential health safety and personal right risk to 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:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2024


LIC809 (FAS) - (06/04)
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