300606738-7-1-2019-06-CC-STOE-BDNMTR-20190701095357

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300606738
Report Date: 07/01/2019
Date Signed: 07/01/2019 09:54:02 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	ARBORLAND MONTESSORI CHILDREN'S ACADEMY		FACILITY NUMBER:	300606738
ADMINISTRATOR:	SUELING, CHEN		FACILITY TYPE:	850
ADDRESS:	1700 W VALENCIA DRIVE		TELEPHONE:	(714) 871-2311
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92833
CAPACITY:	107	CENSUS: 5	DATE:	07/01/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:04 AM
MET WITH:	Sueling Chen, Principal		TIME COMPLETED:	09:23 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced case management-licensee initiated inspection was conducted on this date by Licensing Program Analyst (LPA) Stacy Torrence, in response to a request to decrease toddler option (18 mos.-36 mos.) from 35 to 24. The facility has also requested to convert classroom A2 to an infant classroom. Currently this facility has two toddler option classrooms; A2 (11 toddler option children) and A1 (24 toddler option children), which is a total of 35 toddler option children. The total capacity requested for this facility is 96; 72 preschool children (ages 2-6 years) and 24 toddler option children (ages 18 mos. to 36 mos.) LPA met with Principal, Sueling Chen. Census was taken. There were five toddlers and two staff supervising. A review of staff or individuals who require caregiver background checks have received a criminal record clearances or exemptions and a child abuse index clearance. Incidental Medical Service-IMS was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Copies of child care provider's guide to safe sleep pamphlet and Never Ever Shake a Baby pamphlet with the website www.dontshake.org were given to the facility representative on the previous inspection. A copy of the Effect of Lead Exposure pamphlet was given to the provider. The facility representative was informed that they can refer to our Department website at www.ccld.ca.gov for obtaining the quarterly updates. In the areas that were evaluated, the facility was in compliance of the California Code of Regulations, Title 22, Division 12.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ARBORLAND MONTESSORI CHILDREN'S ACADEMY	FACILITY NUMBER: 300606738
	VISIT DATE: 07/01/2019

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This facility meets licensing requirements on this date and a license will be issued pending a final review.
Exit interview was conducted. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The licensee was provided a copy of their appeal right (LIC 9058 01/16 and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019

LIC809 (FAS) - (06/04)

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