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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215637
Report Date: 09/11/2024
Date Signed: 09/11/2024 05:11:37 PM

Document Has Been Signed on 09/11/2024 05:11 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:LITTLE SCHOLARS MONTESSORIFACILITY NUMBER:
566215637
ADMINISTRATOR/
DIRECTOR:
MICHELLE BURSEFACILITY TYPE:
850
ADDRESS:1915 LAS POSAS ROADTELEPHONE:
(805) 322-7084
CITY:CAMARILLOSTATE: CAZIP CODE:
93010
CAPACITY: 196TOTAL ENROLLED CHILDREN: 196CENSUS: 70DATE:
09/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:20 PM
MET WITH:Jacqueline Serrano and Jessica CruzTIME VISIT/
INSPECTION COMPLETED:
05:26 PM
NARRATIVE
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On September 11, 2024 Licensing Program Analyst's (LPA's) Susana Martinez and David Roman conducted an unannounced case management-other inspection. LPA's met with program coordinator, Jacqueline Serrano and Assistant Director, Jessica Cruz advised them of the purpose for the inspection. LPA's toured the facility inside and outside, at the time of the inspection there were 70 children in care of 11 staff.

While initiating a complaint on 05/07/2024, it was disclosed by the center that a child was left unattended in a room upstairs while the rest of the classroom was downstairs. Child was found in the upstairs room by a facility staff. Child was inside the room with the lights off. Although the child was not injured, they were found in distress and unsupervised. The center failed to report the incident to the Department.

The center staff also stated that a new director has been appointed at the beginning of September. LPA's reminded assistant director and program coordinator to report a change of child care center director or designee to the Department within 10 days of the change.

During today's inspection two type B citations are being issued and can be found on the attached 809-D regarding the following Title 22 regulations:

Responsibility for Providing Care and Supervision 101229(a)(1).
Reporting Requirements 101212(d)(1)(C).

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, appeal rights were given, and report was reviewed with Program Coordinator/Director, Jacqueline Serrano and Assistant Director, Jessica Cruz.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: Susana Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2024
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 09/11/2024 05:11 PM - It Cannot Be Edited


Created By: Susana Martinez On 09/11/2024 at 03:28 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
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: LITTLE SCHOLARS MONTESSORI

FACILITY NUMBER: 566215637

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2024
Section Cited
CCR
101229(a)(1)

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101229Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision...to meet the children's needs.(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 evidence by:
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Center is to conduct staff training regarding Supervision to children in care. Proof of training must be submitted to the Department by 09/25/24. Center staff is to watch the Supervising Children in Child Care Centers video located at ccld.childcarevideos.org/child-care-center-operators/.
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Based on LPA's observations and interviews the licensee did not comply with the section cited above as a child was left unattended for more than 5 minutes which posed a potential health, safety or personal rights risk to persons in care.
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Type B
09/25/2024
Section Cited
CCR101212(d)(1)(C)

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101212 Reporting Requirements(d)(1) Upon the occurrence...of the events specified below, a report shall be made to the Department...Events reported shall include the following: Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidence by:
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Center is to report new director information to the Department. Directors are to watch the Child Care Reporting Requirements video located at ccld.childcarevideos.org/child-care-center-operators/. The center is to submit proof of director qualifications for all three staff who hold a designation of facility responsibility.
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Based on observation, interview and record review, the licensee did not report incidents which poses potential Health and/or, Safety and, 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:Ana Tolentino
LICENSING EVALUATOR NAME:Susana Martinez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2024


LIC809 (FAS) - (06/04)
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