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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021230
Report Date: 01/30/2025
Date Signed: 01/30/2025 05:05:24 PM

Document Has Been Signed on 01/30/2025 05:05 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BRIDGE MONTESSORI PRESCHOOLFACILITY NUMBER:
198021230
ADMINISTRATOR/
DIRECTOR:		CYNTHIA DAVILAFACILITY TYPE:
830
ADDRESS:393 N LAKE AVENUETELEPHONE:
(626) 817-2205
CITY:PASADENASTATE: CAZIP CODE:
91101
CAPACITY: 76TOTAL ENROLLED CHILDREN: 24CENSUS: 25DATE:
01/30/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Licensee Lydia NandekumaranTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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On 1/30/25 at 9:30am, Licensing Program Analyst (LPA)s Stephanie Li and Joanne Solorio Campos conducted an unannounced annual inspection. Upon arrival, Licensee Lydia Nandekumaran led LPA’s on a tour of the facility. Per director, there are currently 24 children enrolled in the Infant program. Hours of operation are Monday-Friday 7:30am-5:30pm. Infant program operates at the same site as the preschool program located on Lake Avenue Church, parking access from Maple st. The Infant rooms are located in the Family Life Hall. Facility office is located in Hutchins Hall near the prek classrooms. Facility has waivers on file for shared playground with preschool and diaper changing table waiver.

All areas identified on the Facility Sketch were inspected. The facility consists of 3 classrooms and 2 playgrounds for which a waiver is on file. The following was observed: Infant room FL101 had 10 children and 3 staff. Staff names were recorded. Infant room FL102 had 10 children and 3 staff and Toddler Room FL103 had 15 children and 3 staff. Teacher-child ratios were observed to be in accordance with Title 22 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. All children were observed to be under active/visual supervision of a teacher during the tour.

Licensing staff observed disinfectants, cleaning solutions, medication and other items that are dangerous to children were not accessible to children. LPA’s observed one child’s prescription medication (epi-pen) to not be in it’s original packaging and labeling. LPA’s advised director and staff that all prescription medication needs to stored with the original packaging prescription label. A deficiency is being issued by Title 22 regulations. See page LIC809D. Classroom furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. Napping equipment cots, cribs and bedding were inspected for good condition, appropriate storage, and cleanliness. Storage for children's belongings were inspected. All toilets and washing facilities are in safe and sanitary operating conditions. First Aid supplies are available and complete. Drinking water is available and provided through 5 gallon jugs of filtered water. The director’s office is used as the sick area for an ill child to rest.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 9
Document Has Been Signed on 01/30/2025 05:05 PM - It Cannot Be Edited


Created By: Stephanie Li On 01/30/2025 at 04:05 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: BRIDGE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198021230

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101226(e)(1)(B)
Health-Related Services
(1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below: (B) Each container shall have an unaltered label.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in one child's epi-pen stored in classroom is not in it's original box with prescription label, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/03/2025
Plan of Correction
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Licensee will obtain epi-pen with original packaging with presciption labeling from parent to store at school.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


LIC809 (FAS) - (06/04)
Page: 2 of 9
Document Has Been Signed on 01/30/2025 05:05 PM - It Cannot Be Edited


Created By: Stephanie Li On 01/30/2025 at 04:05 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: BRIDGE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198021230

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101438.1(c)(4)
Infant Care General Sanitation
(4) The diaper-changing area, where residue is splashed from soiled diapers and items and surfaces are touched by staff during the diaper-changing process, shall be washed and disinfected after each diaper change. Such areas, items and surfaces shall include but not be limited to:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in two changing pads were covered with fabric pillow cases preventing padding to be properly disinfected after each use, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/30/2025
Plan of Correction
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Director removed sheets from changing pads during todays visit.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in one teacher did not have proof of tdap and mmr immunizations, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025
Plan of Correction
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Licensee will have teacher obtain the mmr and tdap or get the blood work to verify immunizations and will email proof to LPA by 2/28/25.
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:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIDGE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198021230
VISIT DATE: 01/30/2025
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Cribs and napping equipment were observed in the infant program. LPA’s observed portable cribs that meet Consumer Product Safety Commission safety standards and 2 cribs that did not. 2 Nu-line drop down portable crib gates were observed in the infant napping room. LPA’s advised Director that drop down cribs were not allowed for use. Per Director, they have extra cribs in storage room and switched it out during visit. Mattresses have an appropriate size mattress with a fitted sheet. Crib was observed to be free of loose items. Cots were available for infants who can climb out of crib. Sleeping area is physically separated and cribs do not limit staff’s ability to watch infants at all times. Per director, parents take sheets home to wash weekly and a washer and dryer is available on site for daily wash if needed.

At approximately 10:11am LPA’s observed the diaper changing table to be at least one inch thick, with raised sides of at least 3 inches, and not within arm’s reach of the sink. Facility has a waiver on file for the changing table. During time of inspection LPA’s did observe 2 out of the 3 diaper changing pads to be fully enclosed with a fabric pillow case which does not allow for sanitation after every diaper change, which can pose a risk to the health and safety of the children in care. Deficiency is being issued per Title 22 regulations. See page LIC809D. There is at least one sink for every 15 children and 3 working toilets. LPA’s observed that there is a food prep area in the every classroom with one working sink.

Licensing staff observed all required forms/publications to be posted by the front entrance. LPA’s observed that facility license, playground waiver and diaper changing waiver is not posted on parent boards in the classrooms. License and waivers were posted in the Directors office and advised for director to copy and post in all infant and toddler classrooms. Per director, parents bring children’s food and bottles from home and LPA’s observed children’s food and bottles are labeled with individual names. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects, and rodents.

Licensing staff observed the required 2A10BC fire extinguisher indicates fully charged and was serviced on 5/2024 on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Facility has a functioning carbon monoxide and smoke detector that meets statutory requirements. LPA’s did not test the smoke and carbon monoxide detectors as they are hardwired. Director stated there are no weapons, firearms, or bodies of water on the premises. The last Disaster drill was conducted in 9/10/24.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 6 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIDGE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198021230
VISIT DATE: 01/30/2025
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At 11:01am licensing staff observed the outdoor play area. The surface area of the play area and equipment was not observed to be in safe conditions. Per director, the children have not used the outdoor play area due to the recent fires in the area and the health departments guidelines which has restricted outdoor play. During inspection LPA’s observed a children’s playhouse broken and knocked over as well as part of the lattice surrounding the play yard fencing to be broken and fallen/placed in the children’s play area. LPA’s observed several children’s equipment to have sharp, loose or pointed parts as well as stagnant water in the play equipment. Per Director, facility just re-opened from the fires last week and is in contact with the church to get the yards cleaned up. LPA’s emailed public health guidelines for returning after wildfires. LPA’s advised director that children need to have access to outdoor play. Director will update LPA’s about cleaning status after consulting with the church.

Sign in and out is completed digitally through the Brightwheel app where parents utilize a qr code.

Staff records and children’s records were reviewed. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. One teacher was missing proof of current immunizations (Mmr and Tdap) A deficiency is being issued, see page LIC809-D.

Incidental Medical Services (IMS) is currently being provided. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at http://www.cdss.ca.gov/inforescources/child-care-licensing/public-information-and-resoucrces/safe-sleep as an additional resource. LPA also informed applicant/licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at http://www/cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Sleep logs and sleep plans were reviewed and verified for completion.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 7 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIDGE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198021230
VISIT DATE: 01/30/2025
NARRATIVE
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Facility was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). The facility has completed lead testing and is in the process of remediating lead exceedances. LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Teacher was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.



Based on Licensing staff interview/observations and records review, 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.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 8 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRIDGE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198021230
VISIT DATE: 01/30/2025
NARRATIVE
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Licensing staff informed licensee a copy of this licensing report dated 01/30/2025 that documents any Type A citation(s) 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.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview conducted, report was reviewed, and appeal rights were given to Licensee Lydia Nandekumaran.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
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