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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701121
Report Date: 07/12/2021
Date Signed: 07/12/2021 03:34:22 PM

Document Has Been Signed on 07/12/2021 03:34 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:STARS MONTESSORI ACADEMYFACILITY NUMBER:
376701121
ADMINISTRATOR:PENNIE VATCHERFACILITY TYPE:
850
ADDRESS:1680 SOUTH MELROSE DRIVETELEPHONE:
(760) 597-9796
CITY:VISTASTATE: CAZIP CODE:
92081
CAPACITY: 139TOTAL ENROLLED CHILDREN: 0CENSUS: 45DATE:
07/12/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH: Director- Pennie VatcherTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Otsanya Cameron made an unannounced ne to the facility for the purpose of conducting a case management visit to deliver amended report. LPA spoke with Director and confirmed a census of .

During today’s visit, LPA toured the facility and census was taken, with children present.


No deficiencies were observed.

An exit interview was conducted and a copy of this report was provided to Ms. Vatcher.
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: Otsanya Cameron
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2021
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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