<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371623
Report Date: 11/25/2024
Date Signed: 11/25/2024 05:28:19 PM

Document Has Been Signed on 11/25/2024 05:28 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:PRODIGY MONTESSORI CYPRESSFACILITY NUMBER:
304371623
ADMINISTRATOR/
DIRECTOR:		TASILDHAR, ANURANDHAFACILITY TYPE:
850
ADDRESS:8271 GAY STREETTELEPHONE:
(949) 923-1357
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 19DATE:
11/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:CEO/Director Priya Govindaswamy, and Admin Anand Raghavendran TIME VISIT/
INSPECTION COMPLETED:
06:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) P Rivas conducted an announced case management visit to add a toddler option component ages 18 mos to 36 months in Water room. LPA Met with CEO/Director Priya Govindaswamy and Admin Anand Raghavendran and together toured the facility. Applicant is requesting to care for 15 toddler option children ages 18 mo to 36 months and 33 preschool children ages 2 years old to entry into TK or higher grade. Capacity will remain the same, hours of operation will be Monday through Friday 7:30 AM to 6.00 PM

Licensees report that there have been no changes to the structures, buildings, fencing, rooms. The facility is a two story building located in a residential area. LPA was advised that the second floor which is made up of two bedrooms, a bathroom and kitchen area will not be used and is off limits. Upon review of second floor the door was unlocked even though there is a bolt lock on door. (the room was blocked by a child's book case)A sketch for second floor had not been provided. Licensee Representatives report that the upstairs is off limits and not for children's use. LPA was advised no one is living in facility and as of now there is no intention of allowing someone to live upstairs. LPA advised if this changes all other laws must be met including notifying Community Care Licensing of changes. A statement was requested.
A tour of the facility was conducted, there were 5 staff and a total of 19 children present. Review of Guardian showed staff present had criminal record clearances as required.
The Water room which will be for toddler option measured at 435.23 square feet which is insufficient for requested capacity of 15 toddler option children. The Earth and Wind room measured at 1126.13 combined which is sufficient for the requested capacity.
Total sinks: 3 X 15= 45 children.
Total toilets: 3 X 15=45 children.
There is one urinal located in the restroom.
One sink and one toilet are designated for the toddler option program. LPA viewed posted sign.
Children shall be escorted by a staff person to and from the restrooms.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE: DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: PRODIGY MONTESSORI CYPRESS
FACILITY NUMBER: 304371623
VISIT DATE: 11/25/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
page 2
Upon discussion with licensee representatives it was determined that a waiver will not be requested for outdoor activity space but will designate a specific area for the toddler option program. During today's visit LPA did not observe area ready for review.

Fire clearance received from Orange County Fire Authority approving the requested capacity of 15 toddler option children and 30 preschool children was received, The total measurements of the preschool rooms do not accommodate the requested capacity for toddler option program.
The following is needed prior to approval of toddler option program.
1. The licensees representative will provide a new lic 200a and lic 999 to reduce the toddler option children to 12 and preschool children to 33. The sketch shall include the second floor and the yard shall include the toddler option section.
2. A padlock on door leading to the second floor.(picture can be provided)
3. A separate outside activity space for toddler option program. A visit was scheduled for 12/10/24 to review correction and outside activity space.
4. A letter regarding the use of the second floor.
5. A corrected Fire clearance that matches capacity. LPA advised they must also visit OCFA portal at http://publicservices.ocfa.org/.


Items to be provided 12/02/24.
An exit interview was conducted, appeal rights reviewed, notice of site visit provided and must be posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2