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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019186
Report Date: 02/16/2022
Date Signed: 02/16/2022 12:49:19 PM


Document Has Been Signed on 02/16/2022 12:49 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:ARCADIA MONTESSORI SCHOOLFACILITY NUMBER:
198019186
ADMINISTRATOR:CHERYL ROBERTSFACILITY TYPE:
850
ADDRESS:1406 S. SANTA ANITA AVETELEPHONE:
(626) 447-3513
CITY:ARCADIASTATE: CAZIP CODE:
91006
CAPACITY:92CENSUS: DATE:
02/16/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Cheryl Roberts - DirectorTIME COMPLETED:
12:55 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management-Other inspection in order to deliver an Amended Report. Upon Arrival at 12:07pm, LPA was met by Director Cheryl Roberts, to whom the purpose of the visit was explained. At 12:13pm, LPA was provided a tour of the facility.

Census was taken. Classroom 1A: 17 children with 2 staff members, Classroom 1: 20 Children and 2 staff members, Classroom 2: 19 children and 2 staff members, and Classroom 3: 21 children and 3 staff members.

The report which has been amended was originally dated 02/14/2022.

No citations have been issued during today's inspection.

Exit interview was conducted with Director Cheryl Roberts at 12:43pm, copy of report was provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

END OF REPORT


SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan TchengTELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
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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