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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844579
Report Date: 03/19/2025
Date Signed: 03/19/2025 06:00:49 PM

Document Has Been Signed on 03/19/2025 06:00 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MONTY'S MONTESSORI ACADEMY OF CALIMESAFACILITY NUMBER:
334844579
ADMINISTRATOR/
DIRECTOR:		LISA GILFILLANFACILITY TYPE:
850
ADDRESS:9580 CALIMESA BOULEVARDTELEPHONE:
(909) 795-2472
CITY:CALIMESASTATE: CAZIP CODE:
92320
CAPACITY: 64TOTAL ENROLLED CHILDREN: 66CENSUS: 40DATE:
03/19/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:26 AM
MET WITH:Assistant Director Jennifer McClintockTIME VISIT/
INSPECTION COMPLETED:
06:10 PM
NARRATIVE
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On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Raymond Moorehead arrived at the facility for the purposes of concluding a Case Management inspection which was initially conducted on 02/27/2025 in response to the receipt of an Unusual Incident Report (UIR) that was submitted by the facility on 02/13/2025. LPAs were granted entry and explained the purpose of today's inspection, completed a facility tour, and obtained a census.

LPAs made observations, reviewed pertinent documentation, and conducted interviews with pertinent parties related to the self reported incident. It was reported that on 02/12/2025 a day-care child was left unattended in a classroom during transition time. LPAs reviewed pertinent documentation such as the "Monty's Montessori Academy of Calimesa - Event Report" which stated that a day-care child "was left unattended in the classroom on accident while the class transitioned from the classroom to the auditorium". Additionally on the "Monty's Montessori Academy of Calimesa - Event Report" the event was labeled "Accidentally left behind". LPAs interviewed pertinent parties who stated that upon conducting a "name-to-face check" once they had transitioned the staff noticed that the child was unaccounted for. It was stated that the child had gone back inside the classroom after lining up to transition in order to obtain their water bottle. Pertinent parties stated that at same the time the child went back inside for their water bottle, other children were being dropped off, and the staff closed the classroom door. Pertinent parties stated that the child was later found alone in the Mountain Classroom by the window. It was stated that the child was "waiting" for someone to come back for them and that the event made the child feel sad. The day-care child's authorized representative(s) were informed of the incident.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTY'S MONTESSORI ACADEMY OF CALIMESA
FACILITY NUMBER: 334844579
VISIT DATE: 03/19/2025
NARRATIVE
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Per regulation 101229(a)(1), Responsibility for Providing Care and Supervision, "No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation". Based on information obtained during the investigation, it has been determined that this incident is a case of absence of supervision and is a violation of Title 22 regulations.

See LIC809-D for cited deficiency.

A Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

LPAs Perla Ordones and Raymond Moorehead informed the Assistant Director Jennifer McClintock that this report dated 03/19/2025 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPAs Perla Ordones and Raymond Moorehead informed the Assistant Director Jennifer McClintock to provide a copy of this licensing report dated 03/19/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Please note that LPAs left the facility at 11:55AM and returned at 02:12PM.

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 Assistant Director Jennifer McClintock.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/19/2025 06:00 PM - It Cannot Be Edited


Created By: Perla Ordones On 03/19/2025 at 01:29 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MONTY'S MONTESSORI ACADEMY OF CALIMESA
FACILITY NUMBER: 334844579

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/20/2025
Section Cited
CCR
101229(a)(1)

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(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

This requirement is not met as evidenced by:
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Licensee agrees to submit a written plan of action on how compliance will be maintained regarding regulation 101229 Responsibility for Providing Care and Supervision.
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Based on interview and record review, the licensee did not comply with the section cited above as it was reported that a day-care child was left alone in a classroom during transition time which posed an immediate health, safety or personal rights risk to persons in care.
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Licensee agrees to submit proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 03/20/2025.

A civil penalty of $500.00 has been assessed.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 03/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2025


LIC809 (FAS) - (06/04)
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