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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843214
Report Date: 11/09/2021
Date Signed: 11/09/2021 01:37:36 PM

Document Has Been Signed on 11/09/2021 01:37 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:SUNNYMEAD MONTESSORI SCHOOLFACILITY NUMBER:
334843214
ADMINISTRATOR:TILLEKERATNE, DELRINEFACILITY TYPE:
850
ADDRESS:24851 BAY AVENUETELEPHONE:
(951) 924-1425
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 21DATE:
11/09/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Delrine Tillekeratne - Director TIME COMPLETED:
01:45 PM
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Licensing Program Analysts (LPAs) Rachel Zeron and Nasha King made an unannounced visit to the facility for the purpose of conducting a complaint investigation regarding the school age program (334843214). LPAs conducted interviews with children and staff from the pre-school program on this date. A tour and census was taken.

LPA conducted an exit interview and left a copy of this report, along with and a notice site visit. This notice must be posted for the next 30 days.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2021
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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