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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830892
Report Date: 10/24/2022
Date Signed: 10/24/2022 11:37:58 AM

Document Has Been Signed on 10/24/2022 11:37 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MONTESSORI ACADEMY OF CHINOFACILITY NUMBER:
364830892
ADMINISTRATOR:DE SILVA, MAVANANEFACILITY TYPE:
850
ADDRESS:4511 RIVERSIDE DRIVETELEPHONE:
(909) 591-3937
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
10/24/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director, Thurshara De Siiva and Assistant Director, Ariana RamosTIME COMPLETED:
11:30 AM
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On 10/19/2022, an Informal Conference was held at the Riverside Regional Office. Present in the conference were the Director, Thurshara De Siiva and Assistant Director, Ariana Ramos; Licensing Program Manager (LPM) Aaron Ross; and Licensing Program Analyst (LPA) Rachel Zeron .

The conference was held to discuss the following sections of Title 22 Regulations and Health and Safety Code:
  1. 101216.3 Teacher- Child Ratio
  2. 101161(a) Limitations on Capacity
  3. 101229(a)(1) Providing Care and Supervision

The Licensee indicated that new procedures have been implemented to ensure compliance of the above topics. Licensee agrees to submit a written plan detailing supervision related to Case Management inspection conducted on 07/26/2022; 07/28//2021 and 08/13/2021 Teacher - Child Ratio. Written plan due by 10/28/202.

Licensee was advised to visit the Department's website at: https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers on a regular basis for licensing updates. Licensee was advised to review Family Child Care Provider videos related to: Teacher-Child Ratio and Providing Care and Supervision.Child Care Provider video website link was provided to the Licensee during this conference.

During this conference, contact information of the local Resource and Referral Agency, Child Care Resource Center (CCRC) at (909) 890-0018, was provided to Licensee. Licensee agrees to ensure that the facility is operating in substantial compliance of California Code of Regulations Title 22, Division 12.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI ACADEMY OF CHINO
FACILITY NUMBER: 364830892
VISIT DATE: 10/24/2022
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The following forms are required to be updated and sent to Licensing by 10/28/2022:

LIC 308 Designation of Administrative Responsibility
LIC 309 Administrative Organization
LIC 500 Personnel Report
Current Articles of Corporations
Director's Packet for Ariana Ramos

An exit interview was conducted with Director, Thurshara De Silva and Assistant Director, Ariana Ramos.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
LIC809 (FAS) - (06/04)
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