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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300614024
Report Date: 07/25/2024
Date Signed: 07/25/2024 04:38:42 PM

Document Has Been Signed on 07/25/2024 04:38 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MONTESSORI EDUCATION CENTERFACILITY NUMBER:
300614024
ADMINISTRATOR/
DIRECTOR:
HALE, KATHLEENFACILITY TYPE:
850
ADDRESS:1658 BROADWAYTELEPHONE:
(714) 991-7400
CITY:ANAHEIMSTATE: CAZIP CODE:
92802
CAPACITY: 61TOTAL ENROLLED CHILDREN: 61CENSUS: 31DATE:
07/25/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:08 PM
MET WITH:Assistant Director, Manjula Hewaporambage TIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 7/25/24, licensing Program Analyst (LPA) Cynthia Sun conducted an Annual Inspection, however, due to technical difficulties was unable to complete inspection report. LPA will return at a later time to completed annual inspection.
LPA and Assistant Director toured the facility inside and outside and the floor and yard plan were verified. Census was taken in individual classrooms. The overall census observed was 5 preschool staff and 31 preschool children. Facility hours are 7a.m.- 4:30 p.m., Monday through Friday.

Deficiencies observed, disclosed or discovered during todays visit, will be addressed and sited at a later date.

Exit interview conducted with Assistant Director, Manjula Hewaporambage. The report was reviewed and discussed. Appeal Right were provided . All appeals must be in writing and received by the Regional Office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days.


SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2024
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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