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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616551
Report Date: 09/15/2022
Date Signed: 09/15/2022 12:34:21 PM

Document Has Been Signed on 09/15/2022 12:34 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: 41DATE:
09/15/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Hamid HosseiniTIME COMPLETED:
12:45 PM
NARRATIVE
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At 11:00 a.m. on Thursday, September 15th, 2022, Licensing Program Analsyts (LPAs) Karyn Guerra and Matthew Gallo met with Licensee, Hamid Hosseini, for the purpose of a case management inspection. During today's inspection, LPA cleared a citation previously issued on 8/18/2022, regarding qualifications. A census was conducted. At 11:03 a.m. LPAs observed 17 children in the Redwoods class supervised by 1 fully qualified teacher (S1), and 1 aide without units (S2). The Acting Director, April Vasquez, is regularly scheduled to support the classroom but was in a meeting in the room next door. The Acting Director immediately stepped into ratio to regain compliance.

Title 22 deficiencies are cited on the subsequent pages of this report. An exit interview was conducted with the Licensee, Hamid Hosseini. Appeal rights were provided. Licensee's signature on this report acknowledges receipt of these rights. A notice of site visit was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022
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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Document Has Been Signed on 09/15/2022 12:34 PM - It Cannot Be Edited


Created By: Karyn Guerra On 09/15/2022 at 12:14 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: 09/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/16/2022
Section Cited
CCR
101216.2(d)

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(d) An aide assisting a fully qualified teacher (as specified in Section 101216.1(c)) in the supervision of up to 18 preschool-age children, pursuant to Section 101216.3 shall meet the following requirements: (1) Completion of six postsecondary semester or equivalent quarter units in early childhood education or child development, or (2) Completion of at least two postsecondary semester units or equivalent quarter units in early...
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Director immediately stepped into ratio to support the classroom. LPA reviewed staff schedule with Licensee. POC cleared during inspection.
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...childhood education or child development each semester or quarter following initial employment, and (3) Continuation in the educational program each semester or quarter until six units have been completed. This requirement was not met, as evidenced by: Based on observations, 17 children were supervised by 1 fully qualified teacher and 1 aide without units. This poses a potential risk to the health and safety of children in care.
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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:Seychelle De Luca
LICENSING EVALUATOR NAME:Karyn Guerra
LICENSING EVALUATOR SIGNATURE:
DATE: 09/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/15/2022


LIC809 (FAS) - (06/04)
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