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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371604
Report Date: 11/07/2024
Date Signed: 11/07/2024 02:30:15 PM

Document Has Been Signed on 11/07/2024 02:30 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:CHILDREN'S MONTESSORI CENTER OF YORBA LINDAFACILITY NUMBER:
304371604
ADMINISTRATOR/
DIRECTOR:		DAMARYS CHUHUAQUEFACILITY TYPE:
850
ADDRESS:17550 YORBA LINDA BLVD.TELEPHONE:
(714) 528-0831
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: 3DATE:
11/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Office Admin Vicky ZhaoTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 11/7/24 at 2:00pm, LPA conducted a case management visit at the facility to discuss the deficiency cited on 10/15/24. LPA met with Office Admin Vicky Zhao. Census was taken. The overall census were 3 preschool children and 1 staff. Children were napping when LPA arrived.

The areas cited were re-inspected. No deficiencies cited at this time.

The Office Admin was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

End of Report
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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