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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371414
Report Date: 02/01/2024
Date Signed: 02/01/2024 10:47:32 AM

Document Has Been Signed on 02/01/2024 10:47 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MISSION VIEJO MONTESSORIFACILITY NUMBER:
304371414
ADMINISTRATOR:YANEZ, MIRIANFACILITY TYPE:
830
ADDRESS:23581 MADERO # 108TELEPHONE:
(949) 770-1093
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: DATE:
02/01/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Mirian YanezTIME COMPLETED:
10:50 AM
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An informal office meeting was conducted on this date, 2/1/2024, in the Orange County Regional Office. In attendance was Licensing Program Manager (LPM) Judy Hanson and Licensing Program Analysts (LPA) Dean Thompson along with Director Mirian Yanez and Cheryl Gillins.

The purpose of the informal meeting was to discuss the following.

101229(a)(1) - (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.

On 3/27/2023, a self reported unusual incident was reported. On 3/29/2023 The facility received One Type A citation pertaining to Responsibility for Providing Care and Supervision.

During the informal conference, Director discussed they have implemented a few things such as name to face, spot checks on ProCare as well as on paper, before transitioning the classroom teachers lead in front and behind the group of children, also making sure they have enough staff so a floater is available, and monthly meetings discussing Title 22.


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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MISSION VIEJO MONTESSORI
FACILITY NUMBER: 304371414
VISIT DATE: 02/01/2024
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Upon receipt of this report pertaining to a conference conducted by a local Licensing Agency in which issues of non-compliance were discussed, the Licensee must: 1) Provide a copy of this report to the parent/guardian of children currently enrolled by the next business day or immediately upon return. 2) A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). 3) Obtain signature and date from the child's parent/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224. 4) Keep a record immediately upon receipt of the completed and signed LIC 9224 acknowledging receipt of this report in the child's file.

The Director was informed to provide a copy of this report and LIC 9224 (Acknowledgement form).

Increased unannounced visits to the facility will be conducted by Community Care Licensing for the next 2 years to monitor compliance. The purpose of these increased inspections to ensure we as the Department are working with the licensees to ensure a return to compliance of regulation and code.

The following was discussed with the Director:
1. The facility must be in compliance at all times.
2. The licensee's will be placed on required visits for the next two years.
3. The facility will be placed on increased inspections for two years.
4. The Director was advised to check the Child Care Licensing web site at www.ccld.ca.gov for quarterly updates, forms, and regulations.
5. The Director was advised that subsequent citations within the next 12 months may result in civil penalties.

Technical Support Program (TSP) was discussed and a hand out was given to Mirian Yanez. Mirian Yanez has agreed to a TSP referral.

Exit interview conducted with Mirian Yanez, who is in agreement with the above. A copy of this report was provided to Mirian Yanez.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC809 (FAS) - (06/04)
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