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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846779
Report Date: 09/04/2025
Date Signed: 09/04/2025 05:02:48 PM

Document Has Been Signed on 09/04/2025 05:02 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:SUNNY HILLS MONTESSORI ACADEMYFACILITY NUMBER:
334846779
ADMINISTRATOR/
DIRECTOR:		WICKREMESINGHE, MANOJFACILITY TYPE:
860
ADDRESS:10744 HOLE AVETELEPHONE:
(951) 689-7022
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 122TOTAL ENROLLED CHILDREN: 122CENSUS: 31DATE:
09/04/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Manoj Wickremesinghe Applicant and Lucita Vaughn DirectorTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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On the above noted date and time, Licensing Program Analyst (LPA), Diana Brasel and Giselle Carbullido conducted an announced Pre-Licensing inspection for a Change of Ownership application received. Upon arrival, LPA met with Applicant Manoj Wickremesinghe. Applicant is requesting to be licensed for (24) infant in room 1, (28) toddler option in room 2, and (56) preschoolers (2-5) in room 3 and 4, ). Hours of operation will be Monday - Friday 7:00 am - 6:00 pm.

The applicant has asked to be given time to decide if he wants the toddler option component and he does not want the school-age component. The granted Fire Clearance includes infants, toddler option, preschool and school-age. LPA will have an updated STD 850 generated to reflect the updated changes and an updated LIC 200A will be obtained.
Fire clearance was granted on 06/03/25.

A return visit will be required upon obtaining the needed updated information of the applicants request.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Manoj Wickremesinghe Applicant and Lucita Vaughn Director that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, they will be stored in the kitchen, per applicant. A fully equipped first aid kit is located in office. There is an operational carbon monoxide detector/smoke detector located in each of the children's rooms. All required licensing documents were observed posted in the hall. Children will be signed in and out in the hall. The facility will be transiting to Brightwheel after licensure. It was discussed to have back up hard in case of system down.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/04/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: SUNNY HILLS MONTESSORI ACADEMY
FACILITY NUMBER: 334846779
VISIT DATE: 09/04/2025
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LPA continued to tour the facility and measured all indoor and outdoor activity space. Upon the request of the applicant, the measurements will not be documented on this report. Upon LPA Brasel's return to complete the pre-licensing visit all indoor activity space will be identified and updated. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via children's own brought water bottles, the facility has Brita filtered water. The facility has paper cups for children if their water bottles are forgotten. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property.

LPA observed a total of (8) sinks and (8) toilets available for children’s use. These are sufficient to accommodate the requested current capacity. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the office.



Facility will provide am/pm snack and lunch. The kitchen area currently includes sink with hot water, microwave, industrial refrigerator, and large freezer. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via a locked door.

The facility currently has multiple playgrounds with chain link fencing, which is at least four feet high. On todays visit the outdoor playgrounds were not measured due to needed 4 feet fencing to be installed separating the playgrounds. A return visit will be required to measure all outdoor playgrounds/space. Currently there are multiple trees, wind sails and extended awning covering. Drinking water is available via children's own water bottles with filtered Brita water.

High chairs and feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. High chairs are made of washable, moisture-resistant material. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. -continued on LIC 809C-

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
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: SUNNY HILLS MONTESSORI ACADEMY
FACILITY NUMBER: 334846779
VISIT DATE: 09/04/2025
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Crib area is separated from activity space via wooden solid wall on one side and wood with plexi glass on the long wall. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs are kept in the infant rooms. Needs and Services Plans and Sleep Plans are kept in the infant rooms.

LPA Brasel will schedule a return visit with the applicant when updated information and completion of discussed needed corrections are completed, to finish a completed pre-licensing visit. An updated indoor floor sketch will be needed to reflect the updated request. An updated outdoor yard sketch will be needed to reflect the playgrounds as they are determined.

Exit interview conducted and report was reviewed with the applicant and director. A copy of this report was provided on this date,

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2025
LIC809 (FAS) - (06/04)
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