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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016262
Report Date: 08/08/2019
Date Signed: 08/08/2019 10:50:32 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GATEWAY MONTESSORI AND PRESCHOOL OF SAN DIMASFACILITY NUMBER:
198016262
ADMINISTRATOR:CHARMAINE MANAGEFACILITY TYPE:
840
ADDRESS:516 E. BONITA AVENUETELEPHONE:
(909) 592-7700
CITY:SAN DIMASSTATE: CAZIP CODE:
91773
CAPACITY:18CENSUS: 8DATE:
08/08/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Diane Virga TIME COMPLETED:
11:05 AM
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A Case Management inspection was conducted by Licensing Program Analyst (LPA) Timothy Fields. LPA met with director Diane Virga and was guided on a tour of the classroom. LPA observed one teacher supervising eight children. The purpose of todays inspection was to amend and previous reported drafted on 7/30/19 and obtain signatures.

An exit interview was conducted with Diane Virga. A copy of the report and notice of site visit was provided.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019
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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