<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019814
Report Date: 12/18/2025
Date Signed: 12/18/2025 04:23:10 PM

Document Has Been Signed on 12/18/2025 04:23 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: 90CENSUS: 78DATE:
12/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:27 AM
MET WITH:Director, Maribeth PeraltaTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Lilli Babcock conducted a subsequent unannounced Case Management inspection due to an incident that occurred on 10/8/25 and was reported to the Department on 10/9/25. LPA was met by Director Maribeth Peralta, to whom the reason for the visit was explained. Director guided LPA on a tour of the facility. The census was taken. There were five staff caring for 27 children in Room 2, three staff caring for 27 children in Room 3, and two staff caring for 24 children in Room 4. The facility was observed to be operating within the license capacity limitations.

During the visit on 11/17/25, LPA conducted interviews with the Director, four teachers, and one child (Child #2). During the visit on 12/11/25, LPA interviewed three staff who were not present at the facility to be interviewed on 11/17/25 and conducted an additional interview with the Director and three staff who were initially interviewed on 11/17/25. During the visit on 12/18/25, LPA conducted an additional interview with Director and Staff #3.

On 10/9/25, an unusual incident was reported to the Department regarding an incident that occurred at approximately 4:35 pm, during PM recess, on 10/8/25, which involved a child (Child #1) who was injured on the playground and received a fracture to their right femur. Written Report (LIC 624) of the incident submitted by the facility states that Child #1 "was found to have a fracture on their upper thigh bone as a result of significant weight put on the right thigh".

Page 1 of 6

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Lilli Babcock
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2025
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 8
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)
Page: 2 of 8
Document Has Been Signed on 12/18/2025 04:23 PM - It Cannot Be Edited


Created By: Lilli Babcock On 12/18/2025 at 10:38 AM
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: 12/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2025
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a)...(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director states she will develop and submit a new written plan to ensure children will be constantly visually supervised while on the playground.
8
9
10
11
12
13
14
Based on interviews, the licensee did not comply with the section cited above as a child sustained a fracture to femur without any staff visually supervising which poses/posed an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

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.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Lilli Babcock
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2025


LIC809 (FAS) - (06/04)
Page: 3 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ACADEMY
FACILITY NUMBER: 198019814
VISIT DATE: 12/18/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During the interview with the parent of Child #1 (C1), the parent stated that C1 sustained a fracture to the right femur requiring the application of a Spica cast, which cast the ankle to under the armpits of C1, for a duration of 6-8 weeks, where C1 was unable to sit up or walk. During the interview the Parent of C1 stated they were informed by Director that no staff observed the incident occur.

Staff interviews disclosed that no staff observed the incident where C1 was injured.

Staff interviewed stated that Staff #1 (S1) was supervising the yellow slide on Playground 4 where C1 was injured at the time of the incident. Per Director, "S1 was in charge of that section and was walking around it and was attending to the kids at the back of the slide, when S1 heard C1 crying." Director stated she was told this information by S1.

LPA interviewed Staff #1 on 11/17/25 at approximately 10:30 am. During the interview with S1, LPA asked S1 who was supervising the yellow slide area at Play Structure 4 when the incident occurred, and S1 replied, "Just me". When LPA asked S1 if they observed how C1 was injured, S1 replied "No", "I had to walk to the back of the slide because someone was screaming, I can’t remember who, so I was talking to them, and that is when it happened". On 11/17/25, LPA asked S1 what children were present on the slide at the time of the incident, and S1 stated “I can’t remember”. On 12/11/25, at approximately 10:00 am, during the interview with S1, S1 wrote in a declaration they were “nearby the structure. I walked a little bit further to attend another incident. Then I heard somebody crying. When I look back, I saw C1 was sitting and crying on the ground”. During the interview with S1 on 12/11/25, S1 confirmed they were at the back of the yellow slide when S1 heard C1 crying. LPA asked staff during interviews to note with a dot on the Preschool Playground Layout where they were located at the time of the incident and to sign their name next to their location dot on the Preschool Playground Layout. On 12/11/25, S1 put a dot in the bike path on the left side of the front of Play Structure 4; which is inconsistent with the statement of S1 during the interview on 11`/17/25 and confirmed again on 12/11/25, in which S1 states they were at the back of the slide at the time of the incident.

Page 2 of 6

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Lilli Babcock
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC809 (FAS) - (06/04)
Page: 4 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ACADEMY
FACILITY NUMBER: 198019814
VISIT DATE: 12/18/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During interviews, Staff #5 (S5) stated that after C1 was injured, S5 asked C1 how they got hurt and C1 stated "fall"..."bottom of the slide". S5 stated C1 had been playing with Child #2 (C2) before the incident. S5 stated they asked C2 what happened to C1, and C2 said, "fall at the bottom of the slide".

LPA interviewed C2. LPA asked C2 to show LPA how C1 hurt their leg. C2 took LPA to the playground. The playground was empty of children at the time of the interview. LPA asked what C1 was doing when they hurt their leg, and C2 took LPA to the yellow slide on Play Structure 4 and stated, "On the slide." C2 walked to the slide and pointed to the bottom of the slide and stated, "C1, sit here".

Then LPA asked C2, "How did C1 get hurt?" C2 replied, "I went down and then" - while demonstrating, by pointing to the top of the slide and then motioning their hand to the ground at the end of the slide. LPA then clarified, "Oh, so you came down the slide, and C1 was sitting at the end of the slide and then fell off?" C2 confirmed, "Ya."

Although the facility has video cameras present, Director stated during an interview on 11/17/25 that she checked the footage and didn't see any camera footage of the incident, or she would have saved it. Director stated during an interview on 12/18/25 at 2:00 pm, “Our cameras are sometimes working and sometimes not. I wish I was able to have gotten some footage”. LPA asked Director if Camera 1, which shows Playground 4 and the yellow slide, was working at the time of the incident. Director stated, “No, sometimes they go off-line, and it will show no video signal. Camera 1 was offline at that time. The cameras go offline sometimes because they are outdoors and not protected from the elements like moisture”. Per Director, camera footage is automatically saved for only a twenty-four-hour period. On 12/18/25 LPA measured the yellow slide on Play Structure 4 and determined the slide is 49 inches tall.

During interviews the Director verified that the facility is currently using the Pre-Primary Playground Supervision Guidelines for Teachers dated 3/24/25 and Preschool Playground Layout. LPA obtained a copy

Page 3 of 6
NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Lilli Babcock
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC809 (FAS) - (06/04)
Page: 5 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ACADEMY
FACILITY NUMBER: 198019814
VISIT DATE: 12/18/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
of the documents. The Guidelines for Teachers document shows staff duties and area assignments on the playground for AM, Noon, and PM recess. The Preschool Playground Layout is a map of the playground with stars and arrows placed on the map with teacher’s names listed next to each star.

During the interview with Director on 12/18/25, LPA asked Director to explain the Preschool Playground Layout. LPA asked Director what the star signifies on the Preschool Playground Layout map, and Director stated it signifies “Where each teacher should be”. LPA asked the Director what the arrows signify, and the Director stated, “Where teachers should be looking”. For Play Structure 4, Staff #1 is listed with a star to the right of Structure 4 with an arrow toward Play Structure 4 and along the fence to the right of Structure 4.

During the interview with Director on 12/18/25, LPA asked Director to explain the Pre-Primary Playground Supervision Guidelines for Teachers. Director stated, “It is current however depending on the time of day the names may be different, but the area of assignment stays the same…There are two teachers listed but there is a slash between the teachers names, so it might be one of the two teachers supervising that area. It varies because the teachers are there at different hours of the day, so it depends on their hours which teacher is there.” LPA asked Director to explain the items listed under the teachers’ names. Director stated, “This is what teachers have to keep in mind that they should be doing, and watching the children are doing. Children's activities that could result in them getting hurt”. LPA asked if one teacher is supposed to make sure the children are following the rules listed underneath the teachers’ names on the Guidelines document, and Director replied “Yes. The guidelines were attached to a signature page that acknowledges teachers are aware of this”. For Play Structure 4, the document notes staff are to "make sure the children are properly using the slide...waiting to slide down when no one is on the bottom of the slide”; however at the time of the incident no staff “made sure” C1 and C2 was using the slide per the guidelines, and C2 slid down the slide into the right femur of Child #1 who was at the bottom of the slide.

According to interviews conducted, there were between four and five staff members present on the playground on the day of the incident. Per Director there were 5 staff present; however, Staff #6 stated they were not on the playground at the time of the incident. The Director submitted a "Playground Supervision

Page 4 of 6
NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Lilli Babcock
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC809 (FAS) - (06/04)
Page: 6 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ACADEMY
FACILITY NUMBER: 198019814
VISIT DATE: 12/18/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Checklist" to LPA Babcock via email on 3/24/25. This checklist includes the dates from Monday to Friday, as well as the times for AM, NN, and PM recess. One item on the checklist states that "Staff is positioned at the designated playground area."

During an interview with the Director on 12/11/25, LPA asked Director, "Are you completing the Playground Supervision Checklist daily?" The Director replied, "No, we are not." When asked why the checklist was not completed daily, the Director explained, "I am supposed to be the one doing it, but I can't do it every day. I am doing it, but not consistently—at least one or two days a week."

LPA then asked the Director, "Do you have a completed checklist for 10/8/25?" The Director responded, "I do not have it for that particular day."

The facility has a supervision plan in place; however, during the investigation, it was found that this plan was not followed. As a result, the yellow slide of Play Structure 4 was left unsupervised, which led to an incident in which C1 was injured and sustained a fracture of the right femur. At the time of the incident, C1 was sitting horizontally at the bottom of the slide when C2 came down the slide. Because C1 was positioned there, C2's legs struck C1’s right femur, causing the fracture. No staff members witnessed the incident but learned of it when they heard C1 crying.

Per Director, there were 54 children on the playground on 10/8/25 at 4:30 pm per the facility weekly headcount sheet competed by either Director or Office Administrator. LPA reviewed and confirmed there were 60 children and seven staff present at the facility on 10/8/25 at 4:30 pm, based on timecards and sign-in/out sheets. Copies of timecards, sign-in/out sheets, and weekly headcount sheet for 10/8/25 were obtained during the visit on 12/18/25.

Based on LPA interviews, the following deficiency listed on the attached LIC 809D (deficiency page) is being cited in accordance with California Code of Regulations Title 22. Deficiencies that are cited need to be cleared to protect the children’s health and safety.

Page 5 of 6

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Lilli Babcock
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC809 (FAS) - (06/04)
Page: 7 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ACADEMY
FACILITY NUMBER: 198019814
VISIT DATE: 12/18/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA Lilli Babcock informed facility representative Maribeth Peralta that this report dated 12/18/25 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Lilli Babcock informed the facility representative to provide a copy of this licensing report dated 12/18/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative Maribeth Peralta.

Page 6 of 6

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Lilli Babcock
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC809 (FAS) - (06/04)
Page: 8 of 8