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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750077
Report Date: 07/14/2022
Date Signed: 07/14/2022 04:41:48 PM

Document Has Been Signed on 07/14/2022 04:41 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: 45DATE:
07/14/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Gina Castillo, Director TIME COMPLETED:
04:46 PM
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On 07/14/2022, Licensing Program Analyst (LPA) Liana Stepanyan and Licensing Program Manager (LPM) Mariela Ramon met with Gina Castello who guided LPA and LPM on a tour of the facility. Upon arrival, LPA and LPM observed 45 children under care and supervision with 5 staff members.

The purpose of this visit was to conduct a Case Management inspection regarding an unusual incident that occurred at the facility on 07/08/22 and was reported via phone on 07/08/22 and was received by the Department on 07/14/2022.

The unusual incident report indicated that on 07/08/22 child #1 was climbing the play structure leaned forward and fell off the structure hitting her face on the play ground resulting in 2 scrapes on the right side of her face and another scrape on the groin area.

Child #1's mother was notified immediately, first aid measures were taken.

At this time, further follow is needed.

An exit interview was conducted and a copy of this report was provided.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2022
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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