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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845633
Report Date: 06/24/2021
Date Signed: 06/24/2021 01:39:53 PM

Document Has Been Signed on 06/24/2021 01:39 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S MONTESSORI SCHOOLFACILITY NUMBER:
364845633
ADMINISTRATOR:ABEYRATNE, ISHIKAFACILITY TYPE:
850
ADDRESS:8736 BAKER AVENUETELEPHONE:
(949) 383-8381
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 34TOTAL ENROLLED CHILDREN: 0CENSUS: 12DATE:
06/24/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:42 PM
MET WITH:Ishika Abeyratne/DirectorTIME COMPLETED:
01:53 PM
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On 6/24/21 at 12:42 PM Licensing Program Analyst (LPA) Patricia Berry conducted a case management inspection. Licensee met with director and LPA was granted access into the facility. LPA toured facility and took census. LPA observed 12 children in the facility during the visit.

On 6/14 Community Care Investigation Bureau (CCIB) was called regarding allegations that the facility is not being kept up. According to CCIB report there are several trees rotting and damaged, and that there are carpenter bees that are taking over. The report states the yard that the children in care play in is "filled with weeds, up to 3-4 feet tall". Code enforcement did an investigation on the outside of the facility and noticed a few problem areas which were dead grass and weeds. LPA did tour the playground and did not observe any carpenter bees, trees that were rotting or weeds that were 3-4 feet tall, however, the school-age playground is in disarray. LPA observed dead grass, dead leaves, weeds that were dead and dirty sand on the playground. Director stated the owner is cleaning and repairing the playground but it will not be ready for use until fall. Director stated the children are using the preschool playground only. LPA observed the preschool playground to be safe for children to play in and is clean. LPA informed director that pictures will need to be sent to Community Care Licensing before the school-age children can play in the school-age playground. LPA also informed director to add sand or another form of cushioning under the structures to be able to absorb a fall on the school-age playground. LPA interviewed school-age children who confirmed they do not play on the school-age playground at this time.

Interviews confirmed children are not using the school-age playground, so at this time LPA determined there has been no violation of Title 22 regulations.

Exit interview conducted with director and report given.

LPA observed director post Notice of Site Visit.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2021
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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