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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013942
Report Date: 05/02/2024
Date Signed: 05/02/2024 02:43:55 PM

Document Has Been Signed on 05/02/2024 02:43 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MONTESSORI OF WALNUTFACILITY NUMBER:
198013942
ADMINISTRATOR/
DIRECTOR:		CHRISTINA GREGORYFACILITY TYPE:
850
ADDRESS:20121 E. ALISU COURTTELEPHONE:
(909) 598-9267
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY: 178TOTAL ENROLLED CHILDREN: 90CENSUS: 68DATE:
05/02/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Laura Winger, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 05/02/2024, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced case management inspection. A COVID-19 risk assessment was conducted upon entering the facility. LPA met with Laura Winger, Director and explained the purpose of the visit. There are 6 classrooms with 68 children and 10 staff members present.

The purpose of the visit is to follow up on an incident that occurred on 04/25/2024 and was reported to the department on 04/29/2024. The self reported incident is regarding personal rights.

During today's inspection, LPA obtained a copy of the children roster and interviewed Staff #1 (S1) and Staff #2 (S2).

There are no deficiencies being cited today as the incident requires further investigation.

An exit interview was conducted and a copy of this report was provided to Laura Winger, Director. A Notice of Site Visit was provided; Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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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