198010716-2-6-2023-33-CC-CGAN-CQ5VME-20230321163326

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198010716
Report Date: 02/03/2023
Date Signed: 02/06/2023 09:54:34 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/26/2023 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230126091251

FACILITY NAME:	MONTESSORI ACADEMY OF WEST COVINA		FACILITY NUMBER:	198010716
ADMINISTRATOR:	ZAFIRA FIRDOSY		FACILITY TYPE:	850
ADDRESS:	1030 E. MERCED AVENUE		TELEPHONE:	(626) 917-0767
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91790
CAPACITY:	159	CENSUS: 90	DATE:	02/03/2023
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Ghada Ponce, Administrator		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Physical Plant- Staff do not ensure the facility is in good repair.
Physical Plant- Staff do not ensure the facility is clean.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced site inspection to investigate the complaint allegations listed above. A Covid-19 risk assessment was conducted prior to entering the facility. Upon arrival licensing staff met with Administrator, Ghada Ponce. Shortly after Aysegul Inceoglu, Director arrived and took LPA on a tour of the facility indoors and out. Censue of staff and children who were in the facility on this date were taken.

During the course of this inspection LPA, visually observed each preschool class rooms (6 class rooms) with the Director and Administrator and observed by all were, tiles on the ceiling in several of the class rooms and hallways to the clss rooms had stanied water damaged tiles from the roof from rain buildup. Some of the tiles were hanging down ready to fall off. Also observed were a couple of toilets not working properly (Flusing slowly). LPA also observed plumbers on site while entering the facility and during the walk though. LPA also observed the class rooms clean and orderly except for the day to day use by the children.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230126091251

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI ACADEMY OF WEST COVINA	FACILITY NUMBER: 198010716
	VISIT DATE: 02/03/2023

NARRATIVE

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Per conversations with the Director and Administrator during the walk though it was stated that they have already placed work orders to have several items at the day care fixed and some of the items being fixed are the Plumbing, Roof, Electric, wood on bungalows for termites and parking lot repaving. The facility received a grant from CDC (California Department of Education) for all these projects.

LPA obtained copies of work orders, Scope of work to be done, receipts, emails and maps of items being worked on at the facility. The facility has a cleaning crew that comes in daily at night except Saturdays to clean the entire school.

Based on LPA observation, documents reviewed and received and conversations with the Director and Administrator that was conducted during this investigation on this date, the above allegations are substantiated at this time. California Code of Regulations (Title 22, Division & Chapter) relating to this allegation has been cited on LIC 9099-D.

An exit interview was conducted with the Administrator, Ghada Ponce. The Administrator was provided a copy of their appeal rights (LIC 9058), and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Report Ends Page 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230126091251

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI ACADEMY OF WEST COVINA	FACILITY NUMBER: 198010716
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/03/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/24/2023 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The requirement is not met as evidenced by LPA observed tiles on the ceiling in several of the class rooms and	1 2 3 4 5 6 7	Per conversations with the Director and Administrator during the walk though it was stated that they have already placed work orders to have several items at the day care fixed and some of the items being fixed are the Plumbing, Roof, Electric, wood on bungalows for termites & parking lot repaving
	8 9 10 11 12 13 14	hallways to the class rooms had stanied water damaged and some tiles hanging down from the roof from rain buildup. LPA also observed a couple of toilets not working properly (Flusing slowly). This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14	LPA was provided with several documents for all the items listed that are being fix. All items will be completed by the end of March 2023 and facility will provide proof of all items completed.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

LIC9099 (FAS) - (06/04)

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