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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371414
Report Date: 10/03/2024
Date Signed: 10/03/2024 12:36:48 PM

Document Has Been Signed on 10/03/2024 12:36 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MISSION VIEJO MONTESSORIFACILITY NUMBER:
304371414
ADMINISTRATOR/
DIRECTOR:		YANEZ, MIRIANFACILITY TYPE:
830
ADDRESS:23581 MADERO # 108TELEPHONE:
(949) 770-1093
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 28TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
10/03/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Mirian YanezTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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(page 1)

On 10/3/2024, Licensing Program Analyst (LPA) Thompson conducted an unannounced Case Management to ensure that the facility is staying within compliance of Title 22 regulations.

LPA met with Director Mirian Yanez. LPA took census in the infant classrooms. There were a total of 8 infants with 3 staff members. The facility was operating within its licensed capacity and within compliance of staff-to-child ratios.

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

During the inspection of the indoor activity space, LPA did not observe any items which could pose a danger to children (poisons, detergents, cleaning compounds, medications or hazardous items). All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. Bottles, dishes and containers of food brought by the infant’s authorized representative are labeled with the infant’s name and current date. The facility has age appropriate furniture and equipment including, but no limited to, cribs or cots, changing table and feeding chairs. A baby walker was not observed during today’s visit. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. The changing table is within arm’s reach of a sink and appears clean and sanitary. Infant changing table has a padded surface no less that one inch thick and covered..

(continue to page 2)
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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: 10/03/2024
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(page 2)

LPA conducted a facility inspection of the napping area. LPA observed staff were implementing safe sleep regulations, there were no items inside the cribs only a tight fitted crib sheet. LPA reviewed the napping log.

Staff files were reviewed for staff present during the facility inspection on this date, 3 out of 3 staff files were reviewed. Health screening and immunization records as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a childcare center if he or she has not been immunized against influenza, pertussis, and measles.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years.

Children's records were reviewed, and there was a separate, complete and current record for each child. A random sample of 5 children's files were reviewed. LPA observed and reviewed LIC 9227 Individual Infant Sleeping Plan and Needs and Services Plan in children’s files. In the areas reviewed the children’s files were found to be in full compliance.

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.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA conducted an exit interview and reviewed the report with Director Mirian Yanez. The “Notice of Site Visit” was posted, and the Licensee is aware that it shall remain posted for 30 days. The Appeal Rights were explained. The Licensee received a copy of the Appeal Rights (LIC 9058 01/16), their signature on this form acknowledges receipt of these rights.

End of Report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC809 (FAS) - (06/04)
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