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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 344500189
Report Date: 03/10/2025
Date Signed: 03/10/2025 04:28:59 PM

Document Has Been Signed on 03/10/2025 04:28 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ART OF MONTESSORIFACILITY NUMBER:
344500189
ADMINISTRATOR/
DIRECTOR:		MENDOZA, CHRISTINEFACILITY TYPE:
850
ADDRESS:8930 SIERRA STREETTELEPHONE:
(916) 686-5800
CITY:ELK GROVESTATE: CAZIP CODE:
95624
CAPACITY: 83TOTAL ENROLLED CHILDREN: 56CENSUS: 46DATE:
03/10/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:53 PM
MET WITH:Christine MendozaTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 03/10/25, Licensing Program Analyst’s (LPA’s) Corina Beckby and Deborah Khashe, conducted a field visit to the facility for the purpose of a case management inspection. LPA’s arrived at the center and were met by Director, Christine Mendoza.

LPA’s interviewed Director regarding an incident where a child was injured and was seen by medical professional. Director stated she had a conversation with the grandmother of the child, who revealed the child was seen by medical professionals. LPA’s obtained text where Director was advised of the medical visit. Director stated she did not report the incident to Licensing and did not submit an Unusual Incident Report.

LPA’s informed Director, Christine Mendoza, that this report dated 03/10/25, documents Type B citations that are a potential Health and Safety, or Personal Rights risk to persons in care. An 809D is issued for the deficiency.

An Exit interview was conducted, and the report was reviewed with Director, Christine Mendoza. LPA’s posted a notice of site visit. Licensee understands the Notice must remain posted for 30 days and that a failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were provided. A copy of this report will remain on file for a period of three years for public review upon request. The licensee's signature on this form acknowledges receipt of this form.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Corina Beckby
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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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Document Has Been Signed on 03/10/2025 04:28 PM - It Cannot Be Edited


Created By: Corina Beckby On 03/10/2025 at 02:09 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
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ART OF MONTESSORI
FACILITY NUMBER: 344500189

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)

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Type B
04/10/2025
Section Cited
CCR101212

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Reporting Requirements-Upon the occurrence, during the operation of the child care center of any of the events...a report shall be made to the Department by next working day and during its normal business hours...a written report containing the information...shall be submitted to the Department within seven days following the occurrence of such event.
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Director will submit a UIR for the incident that occurred resulting in medical office visit. Moving forward, Director will call department office if unsure to report an incident.
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This regulation was not met as evidenced by:
Director stated she knew of the incident both in text and verbally by C1's grandmother, but did not report it to the department
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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:Bettina Engelman
LICENSING EVALUATOR NAME:Corina Beckby
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2025


LIC809 (FAS) - (06/04)
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