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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019873
Report Date: 04/11/2024
Date Signed: 04/11/2024 02:44:37 PM

Document Has Been Signed on 04/11/2024 02:44 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:ENCHANTED CASTLE SAN MARINO MONTESSORI SCHOOLFACILITY NUMBER:
198019873
ADMINISTRATOR/
DIRECTOR:		JESSICA CHANGFACILITY TYPE:
850
ADDRESS:444 & 464 S. SIERRA MADRETELEPHONE:
(626) 577-8007
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 178TOTAL ENROLLED CHILDREN: 178CENSUS: 109DATE:
04/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:10 PM
MET WITH:Parima Madan - DirectorTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Nolan Tcheng and Jessica Hopkins-Hernandez conducted an unannounced Case Management-Deficiencies inspection. Upon arrival at 2:10pm, LPAs met with Director Parima Madan, to whom the purpose of the inspection was explained. Tour of the facility was provided. There were children napping during the time of inspection.

Census was taken. There were 109 children with 14 staff members.

During an inspection on 04/11/2024, LPAs were disclosed information regarding an internal investigation being conducted at the facility. Report was provided to the Department with findings from the facility administration. The administration determined that a staff member was found to have used an e-cigarette in the facility office, after hours. Per administration, this did not take place in the presence of children or during operation hours. LPAs conducted interview with Staff #1 who corroborated that a staff member did use an e-cigarette in the facility office after operation hours. This is a violation of Title 22 Division 12 Chapter 1 Section 101231 Smoking Prohibition.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

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

Exit interview conducted and report was reviewed with Director Parima Madan, at 3:30pm. Plan of correction was developed and copy of report was provided.

END OF REPORT

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
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 04/11/2024 02:44 PM - It Cannot Be Edited


Created By: Nolan Tcheng On 04/11/2024 at 02:14 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: ENCHANTED CASTLE SAN MARINO MONTESSORI SCHOOL
FACILITY NUMBER: 198019873

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2024
Section Cited
CCR
101231(a)

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Smoking Prohibition
(a) Smoking is prohibited on the premises of a child care center...

This requirement is not met as evidenced by:
Based on interview and record review,
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Per Director, they will conduct a staff meeting regarding facility procedures and have all staff sign an attendance form. Written declarations for all staff will be submitted noting that all staff will adhere to facility and licensing policies and regulations, while on campus.
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Licensee did not ensure that prohibition of tobacco product, in the form of an e-cigarette, was upheld on property. Staff was found to have used an e-cigarette in the facility office, after hours. This is a potential risk to health, safety, and personal rights of 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:Claudia Guangorena
LICENSING EVALUATOR NAME:Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024


LIC809 (FAS) - (06/04)
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