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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846181
Report Date: 04/09/2024
Date Signed: 04/09/2024 01:01:57 PM

Document Has Been Signed on 04/09/2024 01:01 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:NORCO MONTESSORI ACADEMYFACILITY NUMBER:
334846181
ADMINISTRATOR/
DIRECTOR:		CHRISTI PADILLAFACILITY TYPE:
850
ADDRESS:2200 HAMNER AVE, SUITE 110TELEPHONE:
(951) 279-3454
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY: 62TOTAL ENROLLED CHILDREN: 62CENSUS: 57DATE:
04/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:46 AM
MET WITH:Christi Padilla, Director TIME VISIT/
INSPECTION COMPLETED:
01:11 PM
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Licensing Program Analyst (LPA) Elyse Jones arrived at the facility to conduct a Case Management-Incident inspection for the purpose of investigation on an Unusual Incident Report from the facility. At the time of the inspection, LPA toured the facility, took census, and interviews were conducted.

Based on information gathered, the facility acted appropriately and no violations have been identified at this time. The facility provided first aid, contacted the Authorized Representative immediately, an Accident/Injury/Illness Report was provided and the incident was reported to Licensing in a timely manner.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door 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 Christi Padilla, Director.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE: DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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