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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304371633
Report Date:
12/21/2023
Date Signed:
12/21/2023 10:25:30 AM
Document Has Been Signed on
12/21/2023 10:25 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 CO CHILD CARE
,
750 THE CITY DRIVE, SUITE 250
ORANGE
,
CA
92868
FACILITY NAME:
ROBIN HOOD MONTESSORI SCHOOL
FACILITY NUMBER:
304371633
ADMINISTRATOR:
KLYMKO, RAMONA
FACILITY TYPE:
850
ADDRESS:
27500 MARGUERITE PARKWAY # 6
TELEPHONE:
(949) 364-6342
CITY:
MISSION VIEJO
STATE:
CA
ZIP CODE:
92692
CAPACITY:
47
TOTAL ENROLLED CHILDREN:
47
CENSUS:
26
DATE:
12/21/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
10:00 AM
MET WITH:
Kiana Zaragoza
TIME COMPLETED:
11:00 AM
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LPA Bootorabi and Jung conducted a case management visit to provide facility with a copy of an amended report dated 10/05/2023 and acquire signature for the amended report.
Original report needs to maintain confidential.
Exit interview conducted. Notice of Site Visit posted by LPA.
SUPERVISORS NAME
:
Patricia Magana
LICENSING EVALUATOR NAME
:
Araceli Bootorabi
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/21/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/21/2023
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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