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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444416889
Report Date: 10/16/2024
Date Signed: 10/16/2024 02:13:13 PM

Document Has Been Signed on 10/16/2024 02:13 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:LITTLE ACORNS MONTESSORIFACILITY NUMBER:
444416889
ADMINISTRATOR/
DIRECTOR:		JOSEPH EDELIFACILITY TYPE:
860
ADDRESS:1215 CHANTICLEER AVE.TELEPHONE:
(831) 566-1178
CITY:SANTA CRUZSTATE: CAZIP CODE:
95062
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 27DATE:
10/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:Melinda GillenTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Marilou Monico met with Licensee Representative, Melinda Gillen, for a Case Management inspection. Based on interviews and records review, the facility has no qualified full time director on site.

As a result of this inspection, deficiency is cited on the following page.

Exit interview conducted and report was reviewed with Licensee Representative, Melinda Gillen.

A Notice of Site Visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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 10/16/2024 02:13 PM - It Cannot Be Edited


Created By: Marilou Monico On 10/16/2024 at 01:41 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE ACORNS MONTESSORI
FACILITY NUMBER: 444416889

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2024
Section Cited
CCR
101215.1(d)

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Child Care Center Directors Qualifications and Duties - (d) The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation.
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Licensee Representative submitted some of the paperwork for a new director during the inspection. The rest of the documents to be sent to Licensing by 11/18/24.
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This requirement is not met as evidenced by:
Based on interviews and records review, the center has no full time qualified director on site. This poses a potential risk to the health, safety and personal rights to 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:Joel Segura
LICENSING EVALUATOR NAME:Marilou Monico
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2024


LIC809 (FAS) - (06/04)
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