TOPANGA MONTESSORI PRESCHOOL

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) Brittanee Cleveland conducted an unannounced case management inspection on 08/27/2025 due to a self-reported incident that occurred at the facility. LPA arrived at the facility at 11:00AM and met with Dina Weiss, Director, who guided LPA on a tour of the facility. There were 18 children in care and 5 staff present upon arrival. The incident that occurred on 08/26/2025, was reported to the Department on 08/27/2025, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence. Information reported to the Department indicated that Child eloped out of side gate during play time outside. LPA conducted interviews with Director, Staff #1 and Staff #2. LPA obtained signed training disclosures from all staff for the safety training provided on the morning of 8/27/2025. LPA also obtained a copy of the new safety checklist. During the staff interviews, staff stated to LPA that during morning play time, a neighbor notified that a child was outside of the gate. The child walked down the driveway but did not leave the premises. Director recovered child, while Staff 1 assisted and Staff 2 stayed with remaining children. Director stated that the gate had double locks and the one of the locks may have not been secured. Director and staff stated that this is the first time for an incident like this to occur. No injuries were reported for Child. Based upon information received from the interviews conducted it was determined that there was a lapse in care and supervision, this poses an immediate health, safety or personal rights risk to persons in care. The following deficiencies listed on the attached LIC809D are being cited in accordance with California Code of Regulations Title 22. --- Page 1 NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Brittanee Cleveland LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025 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 4 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing

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) Brittanee Cleveland conducted an unannounced case management inspection on 08/27/2025 due to a self-reported incident that occurred at the facility. LPA arrived at the facility at 11:00AM and met with Dina Weiss, Director, who guided LPA on a tour of the facility. There were 18 children in care and 5 staff present upon arrival. The incident that occurred on 08/26/2025, was reported to the Department on 08/27/2025, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence. Information reported to the Department indicated that Child eloped out of side gate during play time outside. LPA conducted interviews with Director, Staff #1 and Staff #2. LPA obtained signed training disclosures from all staff for the safety training provided on the morning of 8/27/2025. LPA also obtained a copy of the new safety checklist. During the staff interviews, staff stated to LPA that during morning play time, a neighbor notified that a child was outside of the gate. The child walked down the driveway but did not leave the premises. Director recovered child, while Staff 1 assisted and Staff 2 stayed with remaining children. Director stated that the gate had double locks and the one of the locks may have not been secured. Director and staff stated that this is the first time for an incident like this to occur. No injuries were reported for Child. Based upon information received from the interviews conducted it was determined that there was a lapse in care and supervision, this poses an immediate health, safety or personal rights risk to persons in care. The following deficiencies listed on the attached LIC809D are being cited in accordance with California Code of Regulations Title 22. --- Page 1 NAME OF LICENSING PROGRAM MANAGER: Raul Navarro NAME OF LICENSING PROGRAM ANALYST: Brittanee Cleveland LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025 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 4 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing

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