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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020089
Report Date: 05/25/2021
Date Signed: 05/25/2021 10:15:16 AM

Document Has Been Signed on 05/25/2021 10:15 AM - 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LEARNING TREE MONTESSORI OF ARCADIAFACILITY NUMBER:
198020089
ADMINISTRATOR:CAROLYN MORALESFACILITY TYPE:
850
ADDRESS:9845 E LEMON AVETELEPHONE:
(626) 241-1234
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY: 120TOTAL ENROLLED CHILDREN: 0CENSUS: 51DATE:
05/25/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Victoria Garcia - DirectorTIME COMPLETED:
10:45 AM
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
Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management-Other inspection in order to deliver an Amended Report and obtain the signature of Director Victoria Garcia on the two pages of the amended report. Upon Arrival at 9:05am, LPA was met by Director Victoria Garcia. At 9:15am, LPA was provided a tour of the facility.

Census was taken. There were 2 Staff and 13 Children in Room 1, 2 Staff and 16 Children in Room 3, 1 Staff and 10 Children in Room 5, and 2 Staff and 12 Children in Room 6.

The report which has been amended was originally dated 05/12/2021.

No citations have been issued during today's inspection.

Exit interview was conducted with Director Victoria Garcia at 10:30am, including, but not limited to Provider Rights, Appeal Procedures and Agency’s Consultative Role.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2021
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