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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566215637
Report Date: 10/10/2024
Date Signed: 10/10/2024 12:54:23 PM

Document Has Been Signed on 10/10/2024 12:54 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: DATE:
10/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:26 AM
MET WITH:Amanda Hollaway and Sara WeththasingaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 10/10/24, Licensing Program Analyst (LPA) Veronica Diaz conducted a Case Management-Incident inspection at the Child Care Center (CCC), for the purpose of following up on the report of an Unusual Incident Report (UIR) received by the Department on 10/07/24. Specifically, the incident involved a child in care, C1, was left unattended in the classroom. LPA met with Director Amanda Holloway and Co-owner Sara Weththasinga discuss the purpose of today's inspection. LPA notes 78 children and 12 staff were present during inspection.

Director and co-owner informed Licensing, C1 was left behind in the classroom. There was 2 staff with 16 children. Both staff stated they counted name to face before going out to the play yard and again in the play yard. Staff 1 realized at some point C1 was missing from the play yard after about 25 minutes and returned to the classroom to find C1 still in the classroom. Staff 1 stated that C1 did not seem to be in distress and was sitting on the cot waiting for the teacher. Director notified parent. Director stated that parent seem upset. C1 was has not been back to the CCC since the incident happened. Currently the C1 is still enrolled.

LPA and Director and co-owner discussed active supervision. Director and co-owner reported CCC has conducted investigation and made proper updates to ensure this incident does not occur again. The circumstances were investigated by the administrator to determine what factors contributed to the incident and steps to prevent it from happening again are in place. The expectations regarding safety and supervision are and will continue to be strongly communicated to our staff through training and meetings. Both staff have been terminated after in house investigation due to having prior training recently on supervision and classroom management.

LPA investigated this incident and based interview with Director and co-owner, record reviews and LPA personal observation there is sufficient evidence in lack of supervision to support that resulted in C1 being left in the classroom. Therefore, the following deficiencies will be sited today 101229 (a) (1)

CONT 809-C

SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LITTLE SCHOLARS MONTESSORI
FACILITY NUMBER: 566215637
VISIT DATE: 10/10/2024
NARRATIVE
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During today’s inspection 1 deficiency citation was provided regarding active care and supervision and repeated civil penalty of $250

Exit interview and review of report was conducted with Director Amanda Holloway and co-owner Notice of Site visit was provided and must remain posted for the next 30 days.
SUPERVISORS NAME: Lissete Gonzalez
LICENSING EVALUATOR NAME: Veronica Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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Document Has Been Signed on 10/10/2024 12:54 PM - It Cannot Be Edited


Created By: Veronica Diaz On 10/10/2024 at 12:18 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: 10/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/10/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility 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 and classroom management. Proof of training has been submitted to the LPA during today's visit . Center will be having 2 teachers in the class supervising and doing face to child count and documenting the count and truing it at the end of the night. Center has director and assistant director monitoring the cameras. Staff will also go around the classroom and restrooms doing checks. Each teacher will be given 1 on 1 training.
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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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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:Lissete Gonzalez
LICENSING EVALUATOR NAME:Veronica Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024


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