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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844579
Report Date: 02/21/2024
Date Signed: 02/21/2024 10:55:16 AM

Document Has Been Signed on 02/21/2024 10:55 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
INLAND EMPIRE CHILD, 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: 64TOTAL ENROLLED CHILDREN: 53CENSUS: 34DATE:
02/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:58 AM
MET WITH:Director Monique GarciaTIME COMPLETED:
11:15 AM
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On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Taityana Benson conducted a case management visit in response to the receipt of an Unusual Incident Report (UIR) from the facility. The UIR was received by the licensing agency on 02/12/2024. The UIR documents an incident that involved a day-care child that received an injury to their left pinky finger due their hand getting caught in a door hinge at the facility.

Upon arrival, LPAs met with Director Monique Garcia and stated the purpose of the visit. Facility was toured, census was taken, records were reviewed, and interviews were conducted with pertinent parties. It was disclosed that the subject child had went behind a staff member who was receiving another child into the Mountain Classroom when they stuck their hand near the door hinge as the door was closing. Staff applied first aid immediately and contacted the subject child’s authorized representative promptly. LPAs learned that door hinge protectors were installed in all preschool classrooms to prevent further incidents and that new additions to protocols were implemented.

Based on the information gathered, there were no violations of Title 22 regulations identified at this time in regard to the UIR.

There were no deficiencies cited at this time.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director Monique Garcia.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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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