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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371605
Report Date: 07/11/2024
Date Signed: 07/11/2024 01:15:02 PM

Document Has Been Signed on 07/11/2024 01:15 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:
304371605
ADMINISTRATOR/
DIRECTOR:
KEMPS, DISHNIFACILITY TYPE:
830
ADDRESS:17550 YORBA LINDA BLVD.TELEPHONE:
(714) 528-0831
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
07/11/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Office Administrator Binbin ZhaoTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 7/11/24 at 8:50am, Licensing Program Analyst (LPA), Anna Chan conducted a Plan of Correction (POC) inspection in response to a Type A violation issued on 6/21/24 and 7/09/24,101416.5(b) Staff-Infant Ratio and Type B violation issued on 6/21/24, 101416.3(b) Infant Care Aide Qualification.

LPA met with staff Jacqueline Hernandez. LPA went on a walk-through, current census observed were 4 infants and 1 teacher in the playground and 4 infants and 1 teacher in the classroom. Office Administrator Binbin Zhao arrived around 9:45 am.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

The areas cited were re-checked and action plan document was reviewed and found to be corrected. Deficiencies cleared. Clearance letters were provided to the director.

No further action needed at this time. POC letters given, and corrections have been received at this time.

Office administrator Zhao was reminded that the facility shall notify the Department within 10 days when there is a change of director. And to find a new director or a fully qualified teacher can act as director while facility is finding a permanent director within 30 days.

Exit interview conducted and report was reviewed with the Office Administrator Binbin Zhao. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights were explained and provided to facility representative.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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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