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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371290
Report Date: 11/22/2024
Date Signed: 11/22/2024 10:12:55 AM

Document Has Been Signed on 11/22/2024 10:12 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:LITTLE THINKERS MONTESSORI ACADEMYFACILITY NUMBER:
304371290
ADMINISTRATOR/
DIRECTOR:
KALUGAMPITIYA, LILAMANIFACILITY TYPE:
830
ADDRESS:34240 CAMINO CAPISTRANOTELEPHONE:
(949) 488-7939
CITY:CAPISTRANO BEACHSTATE: CAZIP CODE:
92624
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 2DATE:
11/22/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Director Lilamani KalugampitiyaTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
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On 11/22/2024, Licensing Program Analyst (LPA) Chan conducted a Legal/Non-Compliance inspection. LPA met with Director Lilamani Kalugampitiya. Upon arrival the director was informed of the reason for the visit. LPA was led on a tour of the facility. Census was taken; 2 infant children were being supervised by one qualified teacher.

An on-site Facility Personnel Report Summary review showed that all facility staff or other individuals who require background checks have received criminal record and child abuse index clearances or exemptions.

Children’s Records: 1 Infant records were reviewed, and there was a separate, complete, and current record for child. In the areas reviewed, infant files do have LIC9227 or Individual Infant Sleeping Plan and Infant Needs and Services Plan is up to date. There is also a complete record of the 15-minute Infant safe sleep log. File is found to be within compliance.

Administration of Child Care Licensing: Director stated there is no new staff in the infant room.
Infant Care Food Service: LPA inspected and observed the feeding bottles and containers for infants were properly labeled.
Infant Care Activities: LPA observed 2 infants doing indoor activities. None of the infants were swaddled.
Infant Care Center Sleeping Equipment: LPA observed crib sheets were fitted sheets.
Infant Care Fixtures, Furniture, Equipment: LPA observed changing table is within arm’s reach of a sink.
Receipts of Licensing Reports LIC 9224: Director stated there is no new enrollment since September 2024.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

Exit interview was conducted with director, Lilamani Kalugampitiya. A notice of site visit was given and must remain posted for 30 days.
End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2024
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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