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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371142
Report Date: 06/16/2022
Date Signed: 06/16/2022 10:48:48 AM

Document Has Been Signed on 06/16/2022 10:48 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:GUIDEPOST MONTESSORI FOOTHILL RANCHFACILITY NUMBER:
304371142
ADMINISTRATOR:LE SIEUR, DIANAFACILITY TYPE:
850
ADDRESS:26462 TOWNE CENTRE DRIVETELEPHONE:
(949) 340-1695
CITY:FOOTHILL RANCHSTATE: CAZIP CODE:
92610
CAPACITY: 90TOTAL ENROLLED CHILDREN: 60CENSUS: 50DATE:
06/16/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kristaloi BartolomeTIME COMPLETED:
11:00 AM
NARRATIVE
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On 06/16/2022 at 9:00 AM Licensing Program Analyst, Stella Gutierrez conducted an unannounced case management inspection for the purpose of a self reported Incident that occurred at the facility on 06/13/2022. LPA observed 50 preschool Children staff and 07 preschool children present during today’s visit.

A review of the Facility Personnel Report Summary conducted on 06/16/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.



On 06/14/2022 it was self reported to CCLD- Orange County Child Care Program, by the facility Director, Krista Bartolome that a child was observed to not be in the presence of Staff #1 in classroom #6 when the parent of child arrived at the facility for pick-up in the late afternoon hour. Director stated that Child was left unattended and was not being supervised by a staff member when the child was in classroom #8 (connected to classroom #6) .
Based on statements and interviews conducted it was determined that a child was left without supervision of a teacher at the facility. The following violation is being cited in accordance with California Code of Regulations, Title 22, Division 12, section 101229 (a)(1) is being cited on the attached LIC 809D. In addition to this citation of Type A and a civil penalty will be assessed during today's visit.


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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2022
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: GUIDEPOST MONTESSORI FOOTHILL RANCH
FACILITY NUMBER: 304371142
VISIT DATE: 06/16/2022
NARRATIVE
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FOR TYPE A CITATIONS ONLY
LPA, Stella Gutierrez informed director, Krista Bartlome that this report dated 06/16/2022 document 101229 (a)(1) Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA, Stella Gutierrez informed the Director to provide a copy of this licensing report dated 06/16/2022 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the director, Krista Bartlome. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/16/2022 10:48 AM - It Cannot Be Edited


Created By: Stella Gutierrez On 06/16/2022 at 09:56 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: GUIDEPOST MONTESSORI FOOTHILL RANCH
FACILITY NUMBER: 304371142

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2022
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director provided a written LIC 624 stating what the health and safety protocols are and discussed with staff by providing a training on head counts and supervision. Type A cleared today based on records review of the training.
There was a training provided to the staff on 06/14/2022 and document obtained that training was condducted.
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-This regulation was not met as evidence by: the self-reported incident by Director, Krista Bartolome stating that on 06/13/2022 child was observed to be in a classroom alone when located by parent and Staff #2. This poses an immediate risk to the health and safety of children in care. Type A violation cited and civil penalty assessed.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2022


LIC809 (FAS) - (06/04)
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