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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157750009
Report Date: 06/02/2023
Date Signed: 06/02/2023 03:57:25 PM

Document Has Been Signed on 06/02/2023 03:57 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:HERITAGE MONTESSORI SCHOOLFACILITY NUMBER:
157750009
ADMINISTRATOR:DENISE CAMPOSFACILITY TYPE:
840
ADDRESS:1435 N. DOWNS STREETTELEPHONE:
(562) 298-7801
CITY:RIDGECRESTSTATE: CAZIP CODE:
93555
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
06/02/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Teresa WhiteTIME COMPLETED:
12:37 PM
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On 06/02/22 at 11:27 a.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced Case Management inspection at the Heritage Montessori School (School Age) Facility for the purpose of following up and see how they are doing on their current operation of Center's program, and physical plant status. Also, to provide technical assistance as deem necessary in order for Center to continue to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. And to follow up with the Licensee regarding the importance of being familiarized with the Community Care Licensing Division's (CCLD) inspection tools, known as the Compliance and Regulatory Enforcement (CARE) Tools that were developed under the Department's (IPP) Inspection Process Project. The LPA met with the Facility Representative. Teresa White and stated the purpose for the inspection as stated above.

The facility license is posted on a prominent place of the Center. Currently there are children in the program. However, at this time there are no children enroll in the program. Nonetheless, The LPA and the Facility Representative conducted a walk through of the entire facility.

The LPA told the Facility Representative to ensure the Child Care Center maintains an up to date and complete children roster (LIC 9040) and current Personnel Report (LIC 500) to ensure all persons listed in the LIC 500 are properly fingerprint cleared and associated to the Center. Also informed Ms. White to ensure the Facility has on hand the required Plan of Operation, per Title 22 Section 101173.

LPA explained that the CARE Tools are now used by Licensing Program Analysts (LPAs) when conducting inspections in licensed facilities. The CARE Tools focus CCLD’s efforts in three IPP priority areas: Prevention, Compliance and Enforcement. The CARE Tools for Child Care Centers evaluates, but not limited to, the following licensing domains:
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 157750009
VISIT DATE: 06/02/2023
NARRATIVE
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• Care and Supervision: Protecting children in care; monitoring food intake or special diets; assistance in
diapering, toileting, dressing, and other personal hygiene needs; taking medication; etc.

• Children's Records: Documentation on special diet or medical needs,
immunization's, individual development plans, etc.

• Food service: Food and beverages provided to children in care.

• Personal Rights: Children's personal rights.

• Physical Plant: Furniture, toys, flooring, cleanliness, etc.

• Reporting Requirements: Reporting incidents, etc.

• Staff Records: Staff experience, qualifications, criminal record clearances and
exemptions, training, general information applicable to staff, etc.

• Staffing Ratio and Capacity: Staffing ratios per number of children in care.

• Toddler Component: Children 18 months to three years of age (as applicable).

The LPA encouraged the Center's Representative to become familiar with the Guardian Background Check Program https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
The page is updated regularly and contains the new tools and related documents that can be downloaded. Ms. White acknowledged.

The LPA provided a copy of LIC 3118 (Records to be maintain at the Facility.) and other pertinent documents. These forms shall be reviewed to ensure the Child Care Center's file is current and up-to-date.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 157750009
VISIT DATE: 06/02/2023
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LPA Rodriguez along with Ms. White, conducted an overall visual assessment of the entire Center's physical plant. The Center is clean, safe, sanitary and well maintain. All utilities are operational and in good order. There is plenty parking space. The first aid kit is present and complete and is inaccessible to children/infants. The fire extinguishers, smoke alarms and carbon monoxide monitors are in compliance and fully operational. The Center conducts and records emergency disaster drills.

The LPA advise Ms. White to ensure the parent board is always current with the latest information available, as applicable, and not limited to: PUB 269, Child Passenger Restraint System poster; PUB 393, Notification of Parent's Rights; LIC 610, Emergency Disaster Plan, LIC 9148, Earthquake Preparedness form; LIC 613A, Personal Rights, and is posted in an area accessible to parents. LPA advise Licensee to ensure every one working at the center is current in all required training and properly qualified to provide quality care and safe supervision to children in care. Also to have their Plan of Operation and Parent Handbook available.

During today's inspection the LPA observed no deficiencies that may hinder the health and safety of the children in care. Therefore, no deficiencies were cited.

An exit Interview was conducted and a copy of this Report and notice of site visit (LIC 9213) was provided to Ms. White. .
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Esequiel Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
LIC809 (FAS) - (06/04)
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