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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371527
Report Date: 12/16/2025
Date Signed: 12/16/2025 03:01:29 PM

Document Has Been Signed on 12/16/2025 03:01 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:HERITAGE MONTESSORI SCHOOLFACILITY NUMBER:
304371527
ADMINISTRATOR/
DIRECTOR:		LEE,M SHALANEFACILITY TYPE:
850
ADDRESS:15881 GOLDENWEST STREETTELEPHONE:
(714) 891-9921
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 40DATE:
12/16/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Shalane SeymourTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 12/16/2025 Licensing Program Analyst (LPA), Olivia Meza conducted an unannounced case management inspection for the purpose addressing a request received by the Orange County Regional Office for room changes as well as capacity changes. LPA met with Director, Shalane Seymour. At the time of LPA's arrival, there were 40 preschool age students with four (4) staff present.

Facility is requesting to increase preschool capacity from 59 to 89 preschool children and requesting ages in room three (3) to be 2-6 years old. To accommodate that change in capacity for the preschool component, the facility has submitted a waiver with a staggered schedule to ensure the maximum indoor and outdoor capacity are not to be exceeded.

LPA verified the current facility sketch as follows, Preschool classrooms: Preschool Classroom one (1) downstairs, Preschool Classroom two (2) downstairs, Preschool Classroom three (3) upstairs, outdoor patio, and outdoor playground area.

The fire clearance was requested on the date of 08/06/25, and Fire clearance was granted on the date of 08/20/2025.

(continue to page two)
NAME OF LICENSING PROGRAM MANAGER: Martha Malane
NAME OF LICENSING PROGRAM ANALYST: Olivia Meza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/16/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 304371527
VISIT DATE: 12/16/2025
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(page two)
During today's inspection, LPA inspected and measured downstairs preschool classrooms one (1) and two (2) and upstairs preschool classroom three (3), which has the sufficient indoor activity space for the requested number of preschoolers. There are a total of seven (7) toilets and seven (7) sinks for preschool students. LPA Meza measured the outdoor activity space and collected updated waiver with a staggered schedule to ensure the outdoor activity space does not exceed maximum capacity of 70 preschool students at a time.

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

Based on today's measurements of indoor/outdoor space and number of sinks and toilets, the facility may meet the requirements to accommodate the requested capacity increase from 59 preschool students to 89 preschool students. The facility may be granted the increased capacity of 89 preschool children and ages 2-6 years old in classroom three(3) upstairs. An updated license may be approved based on final review by management.

A notice of site visit was given to facility representative, Shalane Seymour and must remain posted for 30 days. Appeal rights given.

(end of report)

NAME OF LICENSING PROGRAM MANAGER: Martha Malane
NAME OF LICENSING PROGRAM ANALYST: Olivia Meza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC809 (FAS) - (06/04)
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