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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370078
Report Date: 10/30/2023
Date Signed: 10/30/2023 02:43:13 PM

Document Has Been Signed on 10/30/2023 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:SLATER MONTESSORI ACADEMYFACILITY NUMBER:
304370078
ADMINISTRATOR:KRISTA HOADLEYFACILITY TYPE:
850
ADDRESS:10316 SLATER AVENUETELEPHONE:
(714) 962-2799
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY: 96TOTAL ENROLLED CHILDREN: 30CENSUS: 18DATE:
10/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Director, Krista HoadleTIME COMPLETED:
03:15 PM
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An unannounced Case Management inspection conducted on this date by Licensing Program Analyst (LPA) Nguyen to provide the facility a copy of an amended LIC 9099 report, and LIC 9099D page dated 10/04/2023, and obtain signatures. Upon arrival LPA met with Krista Hoadley, Director who accompanied LPA on a tour of the facility. Census was taken as follow: 18 napping preschool children with 3 staff members. A review of staff criminal records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

Please see "Amended" LIC 9099 report dated 10/30/2023 and updated LIC 9099D page for corrections.

There were no Title 22 deficiencies cited during today's inspection.

Exit interview was conducted with Director Krista Hoadley. Notice of Site Visit was posted during the visit. 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. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2023
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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