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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371139
Report Date: 03/21/2024
Date Signed: 03/21/2024 04:16:04 PM

Document Has Been Signed on 03/21/2024 04:16 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LA HABRA MONTESSORI PRESCHOOLFACILITY NUMBER:
304371139
ADMINISTRATOR:WEERAKON, MANOJAFACILITY TYPE:
850
ADDRESS:230 S IDAHO STTELEPHONE:
(562) 691-6450
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY: 57TOTAL ENROLLED CHILDREN: 57CENSUS: 30DATE:
03/21/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Sonia Alvarez - Lead TeacherTIME COMPLETED:
04:30 PM
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An unannounced case management report was initiated on today’s date by Licensing Program Analyst (LPA) Odom. Upon arrival at around 11:10am LPA met with Staff #1 (S1) who had 15 preschool age children outside the classroom under the patio area, as LPA was taking count of the children, 3 additional children appeared that were inside the classroom utilizing the bathroom without supervision. S1 stated a staff was supervising the children but LPA did not observe any staff inside the classroom. Staff #2 (S2) had 12 preschool age children with them as they were going to grab the food for lunch, then the 3 children that were in the restroom went with S2 making it a total of 15 preschool age children with 1 staff. Both staff were out of ratio. LPA spoke with Director over the phone and director disclosed they were out of town. Director stated there were supposed to be 3 staff in the preschool classroom not sure what happened.

At 11:45am Staff #3 took 3 school age children to the preschool classroom to eat lunch with the preschool age children, and at 12:05pm the school age children and preschool age children with getting ready for nap time. At 12:00pm LPA observed an infant teacher came over to assist the preschool age staff. Pictures were taken. At 1:30pm LPA observed S1 had 6 preschool age children and 2 school age children outside playing together. LPA questioned S1 if they were aware that preschool age children and school age children are not supposed to commingle. S1 stated they understand they are not supposed to commingle, due to preschool age children and school age children not wanting to nap S1 had them outside playing together while 2 staff supervised the napping children.

A review of adult records indicates that all facility residents, staff, or other individuals who require caregiver background checks have criminal record and child abuse index clearances or exemptions,

Based on LPA’s observation it was determined that the licensee failed to maintain Teacher – child ratio, supervision and preschool age children commingling with school age children.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LA HABRA MONTESSORI PRESCHOOL
FACILITY NUMBER: 304371139
VISIT DATE: 03/21/2024
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Licensee will be cited under the California Code of Regulations, Title 22, Division 12, Chapter 1, Section 101229(a)(1) Responsibility for Providing Care and Supervision, 101216.3(a) Teacher-Child Ratio, 101161(a) Limitations on Capacity. See attached LIC 809D.

This report cites Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was not conducted with Lead teacher Pushpa Ratnaye, staff did not want to review or sign report. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 03/21/2024 04:16 PM - It Cannot Be Edited


Created By: Carmen Odom On 03/21/2024 at 02:10 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LA HABRA MONTESSORI PRESCHOOL
FACILITY NUMBER: 304371139

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/21/2024
Section Cited
CCR
101229(a)

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Responsibility for Providing Care and Supervision:101229(a) The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement is not met as evidenced by:
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Licensee will give a copy of the report to the preschool families and have then sign the LIC9224 acknowledgement receipt. Licensee has 24 hours to send a written plan of correction to LPA Odom.
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Based on observation and interviews conducted there were 3 preschool age children inside the classroom restroom unsupervised.
This is an immediate risk to the health and safety of children in care.
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Type A
03/21/2024
Section Cited
CCR101216.3(a)

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101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement is not met as evidenced by:
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Licensee will give a copy of the report to the preschool families and have then sign the LIC9224 acknowledgement receipt. Licensee has 24 hours to send a written plan of correction to LPA Odom.
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Based on observation and interviews conducted S1 had 15 preschool age children and S2 had 15 preschool age children upon arriaval.
This is an immediate risk to the health and safety of the 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:Judy Hanson
LICENSING EVALUATOR NAME:Carmen Odom
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 03/21/2024 04:16 PM - It Cannot Be Edited


Created By: Carmen Odom On 03/21/2024 at 03:19 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: LA HABRA MONTESSORI PRESCHOOL
FACILITY NUMBER: 304371139

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/21/2024
Section Cited
CCR
101161(a)

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101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by:
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Licensee will give a copy of the report to the preschool families and have then sign the LIC9224 acknowledgement receipt. Licensee has 24 hours to send a written plan of correction to LPA Odom.
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Based on observation, interviews, and pictures taken 3 school age children were commingling with preschool age children during lunch, nap and outdoor play. This is an immediate risk to the health and safety 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:Judy Hanson
LICENSING EVALUATOR NAME:Carmen Odom
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024


LIC809 (FAS) - (06/04)
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