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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019814
Report Date: 01/09/2024
Date Signed: 01/09/2025 04:52:08 PM

Document Has Been Signed on 01/09/2025 04:52 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PRIMANTI MONTESSORI ACADEMYFACILITY NUMBER:
198019814
ADMINISTRATOR/
DIRECTOR:		MARIBETH PERALTAFACILITY TYPE:
850
ADDRESS:10947 VALLEY HOME AVETELEPHONE:
(562) 943-0246
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY: 124TOTAL ENROLLED CHILDREN: 95CENSUS: 68DATE:
01/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Director, Maribeth PeraltaTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Lilli Babcock conducted a Case Management-Deficiencies visit on 1/9/25 to address deficiencies revealed during a complaint investigation. A COVID risk assessment was conducted. LPA met with Director, Maribeth Peralta. Census was taken. There were sixty-eight (68) children and eleven (11) staff present at the facility during this inspection.

Interviews conducted during a complaint investigation revealed that on 11/19/24, a child (Child #1/C1) from the preschool program was hit in the forehead by a metal water bottle thrown by a peer. The water bottle hit the forehead of C1 causing a cut that required stitches. LPA asked Director for all of the facillity incident reports for C1. LPA was provided an incident report dated 11/19/24 for the incident where "During outside playtime, C1 was playing with some friends. A child decided to throw a water bottle in the air which resulted in the bottle hitting C1 on the forehead causing a deep cut". As of this date, the incident involving C1 was not reported to licensing as required. During interviews, Director, Maribeth Peralta confirmed the incident did occur and the incident was not reported to licensing.

Based on interviews and records reviewed, the following deficiencies listed on the attached LIC 809D (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 and safety.



A notice of site visit 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 Director, Maribeth Peralta.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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Document Has Been Signed on 01/09/2025 04:52 PM - It Cannot Be Edited


Created By: Lilli Babcock On 01/09/2025 at 01:14 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: PRIMANTI MONTESSORI ACADEMY
FACILITY NUMBER: 198019814

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2025
Section Cited
CCR
101212(d)(1)(B)

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101212 Reporting Req (d) Upon the occurrence...a report shall be made to the Department...within the Dept next working day...(1) Events reported shall include the following:(B) Any injury to any child that requires medical treatment. This requirement was not met as evidenced by:
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Director states she will watch the video on the CCLD website titled "Child Care Reporting Requirements" and write a summary of what is in the video. Director also states she will include the information in the video in a training with staff and will submit the training agenda to LPA.
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Based on interview and record review, the facility did not comply with the section cited above as facility did not report an injury requiring stitches, which poses/posed a potential health, safety or personal rights risk to persons 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:Brandi VanOosten
LICENSING EVALUATOR NAME:Lilli Babcock
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2025


LIC809 (FAS) - (06/04)
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