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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371484
Report Date: 02/26/2024
Date Signed: 02/26/2024 04:48:08 PM

Document Has Been Signed on 02/26/2024 04:48 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:GREAT FOUNDATIONS MONTESSORI-TUSTINFACILITY NUMBER:
304371484
ADMINISTRATOR:HOPE-KING, SHERLETTFACILITY TYPE:
850
ADDRESS:15140 KENSINGTON PARK DRIVETELEPHONE:
(714) 389-2460
CITY:TUSTINSTATE: CAZIP CODE:
92780
CAPACITY: 140TOTAL ENROLLED CHILDREN: 140CENSUS: 63DATE:
02/26/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Director, Sherlett Hope-King TIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dianna Valdez Santana conducted a case management visit related to a complaint received by the Orange Regional Office on 12/18/23.

On 2/26/24, LPA and Director, Sherlett Hope-King toured the facility inside and outside and a census was taken as follows: 8 preschool staff and 63 preschool age children in care. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's inspection LPA Valdez Santana reviewed 10 staff files. LPA observed that 3 out of 10 staff had expired Mandated Reporter Training certificates.

Based on LPA's inspection of the facility files, the following violation was observed is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 1596.8662(b)(1), is being cited on the attached LIC 809D.

Exit interview was conducted with Director, Sherlett Hope-King. The Notice of Site Visit was posted. Facility representative 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. The Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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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Document Has Been Signed on 02/26/2024 04:48 PM - It Cannot Be Edited


Created By: Dianna ValdezSantana On 02/26/2024 at 04:37 PM
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: GREAT FOUNDATIONS MONTESSORI-TUSTIN

FACILITY NUMBER: 304371484

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/26/2024
Section Cited
HSC
1596.8662(b)(1)

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1596.8662(b)(1) a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training...& shall complete renewal mandated reporter training every two years...
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Director stated she will email LPA Valdez Santana the 3 staff's updated Mandated Reporter Training certificates by the POC due due.
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This requirement was not met as evidenced by: 3 out of 10 staff file reviewed did not have current mandated reporter training certificates.
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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:Thuy Ho
LICENSING EVALUATOR NAME:Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:
DATE: 02/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2024


LIC809 (FAS) - (06/04)
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