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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270282
Report Date: 02/24/2023
Date Signed: 02/24/2023 05:31:32 PM


Document Has Been Signed on 02/24/2023 05:31 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:MONTESSORI CHILDREN'S WORLDFACILITY NUMBER:
304270282
ADMINISTRATOR:BEGOLE, NOREENFACILITY TYPE:
850
ADDRESS:14212 EDWARDS BLVD.TELEPHONE:
(714) 894-4924
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:60CENSUS: DATE:
02/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Director, Noreen Begole TIME COMPLETED:
05:45 PM
NARRATIVE
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LPAs Dianna Valdez Santana and Aidee Nunez conducted a case management visit to ensure licensee posted the Notice of Site Visit and Licensing report documenting a type A deficiency. LPAs also wanted to verify if parents received a copy of the report and had signed the Acknowledgement of Receipt of Licensing Reports (LIC 9224). Upon arrival, LPAs were met by Director, Noreen Begole. LPAs toured the facility and census was taken, there were 25 children in care being supervised by three staff.

A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Director contacted LPA Valdez Santana to inform her that the owner instructed her to wait and not to give parents a copy of the report and sign the LIC 9224 forms until they received the results of their appeal. LPA reminded the Director that according to Regulations, the facility must comply with the Plan of Corrections which includes posting the Type A Licensing Report, giving parents a copy of the report and have each parent sign the LIC 9224. Director stated she would relay the information to the owner.

Upon arrival LPAs observed that the Notice of Site Visit was posted. The Licensing report citing the Type A deficiency that was issued on 1/27/23 was not posted. LPA Valdez Santana asked Director if she gave parents a copy of the report and if she can show LPA the signed LIC 9224 forms. Director was only able to show her two signed forms from one family that were not dated. Director stated she wanted to comply but was conflicted by the direction of the owner. She said she would start giving them to parents. LPAs also reminded Director that signed LIC 9224 forms must be in the children’s individual files.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


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: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 304270282
VISIT DATE: 02/24/2023
NARRATIVE
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Based on LPAs records reviews and observations, the following violations were observed and are being cited in accordance with Health and Safety Sections 1596.8595 (a)(1) Posting Licensing Report by Child Care Facility and Health and Safety section 1596.8595(c)(1) Report to be provided to parents or guardians. See attached LIC 809D.

An Inspection and exit interview was conducted with Director. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.



The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/24/2023 05:31 PM - It Cannot Be Edited

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: MONTESSORI CHILDREN'S WORLD
FACILITY NUMBER: 304270282

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2023
Section Cited

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H &S 101429(a)(1) )(1) Each licensed child day care facility shall post a copy of any licensing report pertaining to the facility that documents either a facility visit or a complaint investigation that results in a citation for a violation that, if not corrected, will create a direct and immediate risk to the health, safety, or personal rights of children in care.
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Director said shwas upset and misunderstood and posted report after LPA reminded her it needs to be posted for 30 days.
This is a civil penalty assessment for failure to complete Plan of Correction from licensing report dated 1/27/23. A civil penalty of $100.00 was assessed.
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The licensing report provided by the department shall be posted immediately upon receipt...shall remain posted for 30 consecutive days... (3) Failure to comply with paragraph (1) shall result in an immediate civil penalty of one hundred dollars ($100). This requirement was not met as evidenced by facility failing to post Type A report.
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Type B
02/27/2023
Section Cited

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H&S 1596.8595(c)(1) Posting licensing report by child care facility or home..(c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights...
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Director stated, facility will provide copies of all the reports with type A violations to the authorized representatives by 2/27/23 with signed LIC 9224 by children's authorized representatives via fax to the Regional Office. Director stated she will add signed LIC 9224 to the children's file.
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This requirement is not met as evidence by: Based on LPAs records reviews, interviews, and observation, it was discovered that licensee failed to give parents copies of the licensing report that documents any Type A…. and the LIC 9224 Acknowledgment of Receipt of Licensing Report to the parents of the children in care. This poses a potential risk to the health of 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: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:
DATE: 02/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/24/2023
LIC809 (FAS) - (06/04)
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