INTERNATIONAL MONTESSORI ACADEMY - WEST CAMPUS

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Fabiola Vasquez conducted a case management inspection due to an incident that occurred on 03/04/22. LPA met Yolanda Sollitto, Director who guided LPA on a tour of the facility at approximately 08:40 AM. During the guide LPA observed the drop of time procedures. Parents drive in with their cars on the backside of the school through the lower children's playground to the front of the school where staff receive and walk the children to the classrooms. Per director this is only done for the arrival time 8:00 to 9:05AM. LPA observed in classroom# One, 08 children with 01 staff, classroom# Two, 11 children with 01 staff, Three 12 children with 01 staff, Four, 11 children with 01 staff, Five, 12 children with 02 staff. Upon arrival. Per director the incident that was reported dated for 04/03/22 on the LIC 624 is incorrect the incident occurred on 03/04/22. The incident date was 03/04/22 was reported to the Department on 03/08/22. The facility reported the incident in a timely manner. LPA conducted an interview with S1, S2, S3, C1. LPA also visually observed the space where the incident occurred. LPA obtained a copy of the accident report provided to the parent. On 03/04/22 a child climb the rock wall upstairs structure. He ran through the structure toward the structure bridge. He was not looking forward and hit his right side of his head on the edge of the roof. The injury required medical attention leading to the child receiving stitches. Based on LPA's observations and statements disclosed during interviews with S1, S2, S3 and C1. Statements made by S2, S3 that child C1 climb up the rock wall and hurt his head on the top by the apparatus bridge. C1 stated while pointing that's where I jumped and hit my head which is located on a different part of the apparatus stated by S2 and S3. Other statements made by S2 and S3 that they did not see when C1 hurt his head, children were asked about the incident. PAGE 1 OF 2 SUPERVISORS NAME: Claudia Guangorena LICENSING EVALUATOR NAME: Fabiola Vasquez LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2022 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 3 FACILITY NAME: INTERNATIONAL MONTESSORI ACADEMY - WEST CAMPUS FACILITY NUMBER: 198009436 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/08/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 04/05/2022 Section Cited CCR 101223 1 2 3 4 5 6 7a)The licensee shall ensure that each child is accorded the following personal rights: ** (2)To be accorded safe, healthful and comfortable accommodations *** This requirement is not met as evidenced by: : 1 2 3 4 5 6 7Per director she is going to meet with her staff to provide a staff alert agenda regarding the rules and regulations of the playground. Will submit proor to LPA by Due: 03/13/22. 8 9 10 11 12 13 14Statements made by S2, S3 that child C1 climb up the rock wall and hurt his head on the top by the apparatus bridge. C1 stated while pointing that's where Ijumped and hit my head which is located on a different part of the apparatus stated by S2 and S3.8 9 10 11 12 13 14 Other statements made by S2 and S3 that they did not see when C1 hurt his head, children were asked about the incident. This poses an immediate risk to the health and safety of children in care. 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Claudia Guangorena LICENSING EVALUATOR NAME:Fabiola Vasquez LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2022 FACILITY NAME: INTERNATIONAL MONTESSORI ACADEMY - WEST CAMPUSFACILITY NUMBER: 198009436 VISIT DATE: 04/08/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Based upon information received from the interviews conducted it was determined that the personal rights of C1 were violated. This was an immediate risk to the health and safety of children in care. The following deficiencies listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or imme

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst (LPA) Fabiola Vasquez conducted a case management inspection due to an incident that occurred on 03/04/22. LPA met Yolanda Sollitto, Director who guided LPA on a tour of the facility at approximately 08:40 AM. During the guide LPA observed the drop of time procedures. Parents drive in with their cars on the backside of the school through the lower children's playground to the front of the school where staff receive and walk the children to the classrooms. Per director this is only done for the arrival time 8:00 to 9:05AM. LPA observed in classroom# One, 08 children with 01 staff, classroom# Two, 11 children with 01 staff, Three 12 children with 01 staff, Four, 11 children with 01 staff, Five, 12 children with 02 staff. Upon arrival. Per director the incident that was reported dated for 04/03/22 on the LIC 624 is incorrect the incident occurred on 03/04/22. The incident date was 03/04/22 was reported to the Department on 03/08/22. The facility reported the incident in a timely manner. LPA conducted an interview with S1, S2, S3, C1. LPA also visually observed the space where the incident occurred. LPA obtained a copy of the accident report provided to the parent. On 03/04/22 a child climb the rock wall upstairs structure. He ran through the structure toward the structure bridge. He was not looking forward and hit his right side of his head on the edge of the roof. The injury required medical attention leading to the child receiving stitches. Based on LPA's observations and statements disclosed during interviews with S1, S2, S3 and C1. Statements made by S2, S3 that child C1 climb up the rock wall and hurt his head on the top by the apparatus bridge. C1 stated while pointing that's where I jumped and hit my head which is located on a different part of the apparatus stated by S2 and S3. Other statements made by S2 and S3 that they did not see when C1 hurt his head, children were asked about the incident. PAGE 1 OF 2 SUPERVISORS NAME: Claudia Guangorena LICENSING EVALUATOR NAME: Fabiola Vasquez LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2022 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 3 FACILITY NAME: INTERNATIONAL MONTESSORI ACADEMY - WEST CAMPUS FACILITY NUMBER: 198009436 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/08/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 04/05/2022 Section Cited CCR 101223 1 2 3 4 5 6 7a)The licensee shall ensure that each child is accorded the following personal rights: ** (2)To be accorded safe, healthful and comfortable accommodations *** This requirement is not met as evidenced by: : 1 2 3 4 5 6 7Per director she is going to meet with her staff to provide a staff alert agenda regarding the rules and regulations of the playground. Will submit proor to LPA by Due: 03/13/22. 8 9 10 11 12 13 14Statements made by S2, S3 that child C1 climb up the rock wall and hurt his head on the top by the apparatus bridge. C1 stated while pointing that's where Ijumped and hit my head which is located on a different part of the apparatus stated by S2 and S3.8 9 10 11 12 13 14 Other statements made by S2 and S3 that they did not see when C1 hurt his head, children were asked about the incident. This poses an immediate risk to the health and safety of children in care. 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Claudia Guangorena LICENSING EVALUATOR NAME:Fabiola Vasquez LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2022 FACILITY NAME: INTERNATIONAL MONTESSORI ACADEMY - WEST CAMPUSFACILITY NUMBER: 198009436 VISIT DATE: 04/08/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Based upon information received from the interviews conducted it was determined that the personal rights of C1 were violated. This was an immediate risk to the health and safety of children in care. The following deficiencies listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or imme

Type A citation - immediate risk to health, safety, or personal rights