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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300610669
Report Date: 06/01/2021
Date Signed: 06/01/2021 01:00:55 PM

Document Has Been Signed on 06/01/2021 01:00 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:IVYCREST MONTESSORI PRIVATE SCHOOLFACILITY NUMBER:
300610669
ADMINISTRATOR:AIDA KINGFACILITY TYPE:
850
ADDRESS:2025 E. CHAPMAN AVENUETELEPHONE:
(714) 879-6091
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY: 244TOTAL ENROLLED CHILDREN: 0CENSUS: 149DATE:
06/01/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Aida King, DirectorTIME COMPLETED:
11:30 AM
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An announced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Stacy Torrence. The facility has requested a decrease in capacity. The facility is currently licensed for 208 preschool children and 36 toddler option children, total capacity of 244. The facility is requesting to decrease to 178 preschool children, no change in toddler option program. The facility has requested to change room #9 licensed preschool classroom to an Elementary classroom. LPA met with Aida King, Director, who guided analyst on a tour of the facility. Census was taken. There was a total of 126 preschool children present, with 18 staff supervising and 23 toddler option children, with 7 staff supervising. Operations hours are Monday-Friday; 7:00 a.m.-6:00 p.m., serving children ages 2.6-6 years old and toddler option children ages; 18 months-36 months. Classrooms: #2, #3, #4, #5, #6, #7, and #8.

A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

All areas identified on the Facility Sketch were inspected. If children become ill during the day, they will rest in the isolation area located, director’s office. Medication is stored in the director's office, in a locked cabinet. Furniture and equipment were inspected for age appropriateness and good repair. Drinking water is readily available to children both indoor and outdoor. First Aid supplies were inventoried. Sign in / sign out record meets regulation requirements.

The facility does provide an AM and PM snack, snacks are bought by parents. Facility also provide lunch or children bring lunch from home. Food prep areas appear clean and sanitary. Food is properly stored.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2021
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: IVYCREST MONTESSORI PRIVATE SCHOOL
FACILITY NUMBER: 300610669
VISIT DATE: 06/01/2021
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Indoor Activity Space Measurements:
Room #2: 1,397 sqft
Room #3: 806 sqft
Room #4: 1,092 sqft
Room #5: 1,065 sqft
Room #6: 1,036 sqft
Room #7: 1,038 sqft
Room #8: 1,079 sqft
Total: 7,513 sqft divided by 35= 214 children

Total children toilets and sinks:
Toddler Toilets: 3 x 15= 45 children
Toddler Sinks: 4 x 15= 60 children
Preschool Toilets: 18 x 15= 270 children
Preschool Sinks: 26 x 15= 390 children

Total outdoor activity area:
8,617 sqft. divided by 75 = 114 children
Facility has a waiver for infants and toddlers to share playground on rotating schedule. Playground is completely enclosed. Outdoor activity area is supplied with age and size appropriate equipment. An adequate amount of cushioning material is in place under the equipment. Shade is provided by a canopy. Drinking water is provided by children's bringing their own water bottle from home. Facility provides re-fills by using a gallon of water.
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Based on today's inspection, facility has enough space for the requested decrease capacity of 178 preschool children.
Center Director Aida King required CPR/1st Aid training expires on 04/2023.
Facility provides Incidental Medical services.
In the areas evaluated, no deficiency was observed and cited today per CA Code of Regulations, Title 22, and Division 12.

Facility meets all licensing requirements and file will be submitted for approval.

Exit interview was conducted. A copy of this report and appeal rights were discussed and provided to the director. The Notice of Site Visit was posted. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2021
LIC809 (FAS) - (06/04)
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