<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616551
Report Date: 08/18/2022
Date Signed: 08/18/2022 04:53:36 PM

Document Has Been Signed on 08/18/2022 04:53 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:COUNTRYHILL MONTESSORIFACILITY NUMBER:
343616551
ADMINISTRATOR:WALKER, REONNAFACILITY TYPE:
850
ADDRESS:7048 SUNRISE BLVD.TELEPHONE:
(916) 728-2929
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 102TOTAL ENROLLED CHILDREN: 102CENSUS: 27DATE:
08/18/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:April VasquezTIME COMPLETED:
05:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
At 3:30 p.m. on Thursday, August 18th, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Acting Director, April Vasquez for the purpose of a POC inspection. A citation was issued on Thursday, August 4th, 2022, regarding reporting requirements. During today's inspection, LPA conducted a file review and observed signed acknowledgement of receipt of licensing forms LIC9224 in children's files. The citation has been corrected per POC and is cleared.

During census conducted, LPA observed 10 preschool children in the Redwood classroom with 1 Staff (S1). LPA conducted a file review and interview and came to find that S1 is not a teacher. This poses an immediate risk to the health and safety of children in care and is a repeat violation. Civil penalties were assessed.

LPA also observed that the temperature in the Sequoia's classroom was elevated in comparison to other classrooms. LPA observed the thermostat reading 81 degrees. Director stated that maintenance was conducted earlier in the week but it is having issues. Technical assistance was conducted. LPA observed children moved from the Sequoia classroom into the cooler daycare classroom during inspection. It was stated that children will combine in the daycare classroom during the evenings. LPA advised for monitoring of children to ensure that they appear comfortable and are not overheating.

Title 22 deficiencies are cited on the subsequent pages of this report. Director acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, licensee shall post LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee. LIC 9224 and Appeal Rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Acting Director, April Vasquez. An exit interview was conducted. A Notice of Site Visit was provided and shall remain posted for a period of 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 08/18/2022 04:53 PM - It Cannot Be Edited


Created By: Karyn Guerra On 08/18/2022 at 04:16 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
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: COUNTRYHILL MONTESSORI
FACILITY NUMBER: 343616551

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/19/2022
Section Cited
CCR
101226(b)

1
2
3
4
5
6
7
101226 Teacher Qualifications and Duties. (b) Prior to employment a teacher shall meet the specified requirements...This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
LPA will conduct a follow up inspection to clear the citation.
8
9
10
11
12
13
14
Based on observations, interview, and record review, S1, was left alone with children and is not a qualified teacher. This poses an immediate risk to the health and safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Seychelle De Luca
LICENSING EVALUATOR NAME:Karyn Guerra
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2022


LIC809 (FAS) - (06/04)
Page: 2 of 2