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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270519
Report Date: 09/23/2024
Date Signed: 09/23/2024 09:46:30 AM

Document Has Been Signed on 09/23/2024 09:46 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MONTESSORI ON THE LAKE INFANT CENTERFACILITY NUMBER:
304270519
ADMINISTRATOR/
DIRECTOR:		EVEREST, JULIEFACILITY TYPE:
830
ADDRESS:24291 MUIRLANDS, SUITE 4TELEPHONE:
(949) 855-5630
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: DATE:
09/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Director Julie EverestTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
NARRATIVE
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On 9/23/2024 at 9:15am, Licensing Program Analyst (LPA), Christine Jung conducted an unannounced case management inspection for the purpose of amending a report dated 9/6/2024. Upon arrival, LPA met with Facility Representative, Lauren Sills, and was led on a tour of the facility. There were seventeen infants and nine staff members present.

No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Julie Everest.

(End of Report)
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Soo Jin Jung
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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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