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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371605
Report Date: 08/07/2024
Date Signed: 08/07/2024 10:09:12 AM

Document Has Been Signed on 08/07/2024 10:09 AM - 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:
08/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:31 AM
MET WITH:Teacher Damarys Chihuaque TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 08/07/24, a case management inspection was conducted today by Licensing Program Analyst (LPA) Anna Chan and Licensing Program Manager (LPM) Martha Malane, who met with Teacher Damarys Chihuaque. Upon arrival there were 3 staff present and 8 infant children in care. The purpose of the inspection is to amend a report dated 07/24/2024 and to deliver discoveries from the 07/09/2024 inspection.

A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA amended a version of report dated 07/24/2024.

In addition, on 07/09/2024, during record review, LPA discovered the previous facility director, Amynah Moloo is missing 8-hour Health Preventative with Lead certificate making Moloo unqualified to be a director.

In the areas evaluated, it was determined that the facility violated Health and Safety Code 1596.866(C)(i). See Type B deficiency cited on LIC809D



Exit interview was conducted with Teacher Damarys Chihuaque. 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.

Appeal Rights and deficiency was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledge receipt of these rights. The first level appeal is to Regional Manager, address is above on the report.

End of Report

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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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Document Has Been Signed on 08/07/2024 10:09 AM - It Cannot Be Edited


Created By: Anna Francesca Chan On 08/07/2024 at 09:11 AM
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: CHILDREN'S MONTESSORI CENTER OF YORBA LINDA
FACILITY NUMBER: 304371605

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2024
Section Cited
HSC
1596.866(C)(i)

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(C) (i) A preventive health practices course or coursesthat include instruction in the recognition..instruction in the prevention of lead exposure that is consistent with the most recent State Department of Public Health’s training curriculum on childcare lead poisoning prevention.
This requirement is not met as evidenced by:
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LIcensee provided LPA proof of resignation for Moloo. Facility Representative has created a checklist of the presonnel requirements and will follow up with staff prior to expiring certificates etc.
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Based on record review, the director’s documents is missing 8-hr health preventative course with Lead. It is therefore concluded that the director was not qualified.
This poses as a potential risk to health and safety of children in care
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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:Martha Malane
LICENSING EVALUATOR NAME:Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:
DATE: 08/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/07/2024


LIC809 (FAS) - (06/04)
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