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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750077
Report Date: 04/28/2022
Date Signed: 04/28/2022 01:44:21 PM

Document Has Been Signed on 04/28/2022 01:44 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:GUIDEPOST MONTESSORI AT COPPER HILLFACILITY NUMBER:
197750077
ADMINISTRATOR:ERIN TRICEFACILITY TYPE:
850
ADDRESS:25135 RYE CANYON LOOPTELEPHONE:
(747) 800-4150
CITY:SANTA CLARITASTATE: CAZIP CODE:
91355
CAPACITY: 126TOTAL ENROLLED CHILDREN: 126CENSUS: 55DATE:
04/28/2022
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Anne Verdier, Head of School TIME COMPLETED:
01:38 PM
NARRATIVE
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On 04/28/2022, Licensing Program Analysts (LPAs) Liana Stepanyan and Monique Ayala conducted a case management inspection. Upon arrival LPAs were greeted by Anne Verdier who guides LPAs on a tour of the facility. LPAs observed 55 children in care of 8 staff members.

The purpose of the inspection is to conduct a health and welfare check to ensure the health and safety of the children in care is met. During this inspection LPAs observed staff members Ariana Schlescht-Valencia and Monica Oseguera caring for children and observed that staff members are not fingerprint cleared. LPAs informed head of school that the 2 staff members are not fingerprint cleared and need to leave the facility immediately. Head of School was made aware that the staff may not return to the facility until they are fingerprint cleared and associated to the facility.

Two immediate civil penalties of $500 is being assessed and $100 will accrue until the deficiency is corrected.

The facility is being cited a Type A deficiency according to the California Code Title 22 Regulations, 101170(e)(1) Criminal Record Clearance. This citation poses an immediate health and safety risk. See LIC 809D for deficiencies.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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: GUIDEPOST MONTESSORI AT COPPER HILL
FACILITY NUMBER: 197750077
VISIT DATE: 04/28/2022
NARRATIVE
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Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & Head of School will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview was conducted, a copy of this report and appeal rights was provided to Head of School along with Notice of Site Visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/28/2022 01:44 PM - It Cannot Be Edited


Created By: Liana Stepanyan On 04/28/2022 at 01:19 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: GUIDEPOST MONTESSORI AT COPPER HILL
FACILITY NUMBER: 197750077

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/28/2022
Section Cited
CCR
101170(e)(1)

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Criminal Record Clearance: All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidence by:
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Head of school will make sure to have the staff members fingerprint clear and will not return to work until fingerprint clearance. Both staff members were removed immediately from the facility.
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Based on observation and record review, 2 staff members were not fingerprint cleared and were caring for children. This poses an immediate health and safety risk to children in care.
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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:Mariela Ramon
LICENSING EVALUATOR NAME:Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2022


LIC809 (FAS) - (06/04)
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