<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157750003
Report Date: 03/28/2024
Date Signed: 03/28/2024 12:26:10 PM

Document Has Been Signed on 03/28/2024 12:26 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:HERITAGE MONTESSORI SCHOOLFACILITY NUMBER:
157750003
ADMINISTRATOR:DENISE CAMPOSFACILITY TYPE:
850
ADDRESS:934 HERITAGE DRIVETELEPHONE:
(760) 446-7459
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 11DATE:
03/28/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nancy Howell, TeacherTIME COMPLETED:
12:30 PM
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
On 3/28/24, Licensing Program Analyst (LPA) Ali met with Teacher Nancy Howell to conduct an unannounced case management inspection. The purpose of the case management is to follow up on unusual incident report (UIR) received 3/25/24. Incident occurred on 3/25/24, child (age 2) was napping and had a seizure will napping. The parents and 911 were called. Ambulance transported child to the hospital with parents present. Child has since been released from hospital. The child has not returned to the daycare at this time.

Upon arrival, LPA observed 11 daycare children and 4 staff member providing care.

During this inspection LPA conducted interview with Nancy Howell in private. In addition, during the inspection, LPA obtained copies of facility roster.

Due to the need to gather additional information, this case management will require further investigation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Nancy Howell, Teacher.

SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Crystal Ali
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2024
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 1