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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844579
Report Date: 06/01/2021
Date Signed: 06/02/2021 12:00:20 PM

Document Has Been Signed on 06/02/2021 12:00 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MONTY'S MONTESSORI ACADEMY OF CALIMESAFACILITY NUMBER:
334844579
ADMINISTRATOR:GARCIA, MONIQUEFACILITY TYPE:
850
ADDRESS:9580 CALIMESA BLVDTELEPHONE:
(909) 795-2472
CITY:CALIMESASTATE: CAZIP CODE:
92320
CAPACITY: 54TOTAL ENROLLED CHILDREN: 0CENSUS: 35DATE:
06/01/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Director Monique GarciaTIME COMPLETED:
03:15 PM
NARRATIVE
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 On 06/01/2021 at 10:07am, Licensing Program Analyst (LPA) Destinee Hogue conducted a case management inspection with Director, Monique Garcia. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 05/19/2021.

During this inspection, LPA Hogue toured the facility inside and outside, took census of daycare children present on this date, interviewed staff and children, reviewed records, and discussed the following with Director, Monique Garcia.

Further information will be needed and upon completion of the review, the outcome and/or recommendations will be provided to the Director.

LPA conducted an exit interview with Director and provided a copy of this report. Director understands that a copy of this report must be made available to the public, upon their request, for the next three years. LPA issued a Notice of Site Visit and verified it was posted in a prominent location at the facility prior to leaving the facility. Director understands that the Notice of Site Visit must remain posted for the next 30 days. No deficiencies were cited during this tele-inspection.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2021
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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