Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419340
Report Date: 03/11/2016
Date Signed 03/11/2016 02:17:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:MONARCH CHRISTIAN SCHOOL-INFANTFACILITY NUMBER:
197419340
ADMINISTRATOR:DIAZ, AMANDAFACILITY TYPE:
830
ADDRESS:22280 DEVONSHIRE STREETTELEPHONE:
(818) 882-8023
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:14CENSUS: 12DATE:
03/11/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Brittany HannonTIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPA), Margarit Sislyan met with the facility Director, Brittany Hanon and conducted a Random Annual visit. Infant Center utilizes 2 rooms.
All rooms are clean and safe. Telephone service was verified. Heating, lighting, and ventilation are adequate. Drinking water is available.

LPA observed Furniture & Equipment age appropriate and in good repair; No Baby walkers on premises; High chairs or feeding tables have broad-based legs. Plastic seats in good repair; Changing tables have at least 1 inch thick padding covered with washable vinyl or plastic; Sides raised a minimum of 3 inches. Changing table within arm’s length of sink when in use; Caregivers wash hands before and after each feeding and each diaper change; Toys safe, with no sharp ages, splinters or points, nor made of small parts that can be pulled off and swallowed; Cribs or other appropriate napping equip available for each crib age infant; Bedding separately identified and stored for each infant; Placement of cribs, cots or mats allows for entry/exit from the napping space
Play area was observed to be free of debris. Play area was inspected for hazards and inaccessibility to bodies of water; the food is provided by parents was properly labeled and stored separate.
Teacher child ratios were observed. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. The parent board was reviewed and has all of the required forms posted.

SUPERVISOR'S NAME: Bill MayedaTELEPHONE: (310 )337-4341
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2016
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, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: MONARCH CHRISTIAN SCHOOL-INFANT
FACILITY NUMBER: 197419340
VISIT DATE: 03/11/2016
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The licensee has been informed that all employees must be associated to the facility. A civil penalty of $100.00 per person will be assessed for failure to have fingerprints cleared or failure to associate a previously cleared individual to the facility
A review of staff record indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearance or exemptions.
The following civil penalty information was discussed: if a facility is cited for a serious deficiency and then repeats the same violation within 12 month period, an immediate penalty of $150 shall be assessed and a penalty of $50 per day shall be assessed until the deficiency is corrected. If the facility repeats the same violation for a third time within the 12 month period, the facility will be cited and assessed an immediate penalty of $150 for that day and $150 per day until the deficiency is corrected. The licensee was advised how to access forms and regulations for Child Care Centers online at www.dss.cahwnet.gov or www.ccld.ca.gov

Incidental Medical Services (IMS) were discussed.

An exit interview was conducted, appeal rights discussed and copy of this report was provided.

A copy of this report must be available to the public, at the facility site for 3 years.
SUPERVISOR'S NAME: Bill MayedaTELEPHONE: (310 )337-4341
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2016
LIC809 (FAS) - (06/04)
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