<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370064
Report Date: 09/23/2021
Date Signed: 09/23/2021 08:05:11 PM

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:AMERIMONT ACADEMY, INCFACILITY NUMBER:
304370064
ADMINISTRATOR:MADRIGAL, SAMANTHAFACILITY TYPE:
850
ADDRESS:490 ANAHEIM HILLS ROADTELEPHONE:
(714) 974-4664
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY:75CENSUS: 5DATE:
09/23/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Samantha MadrigalTIME COMPLETED:
05:15 PM
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
LPA observed children in the eagle classroom over 2 years old were not wearing masks.

The facility did not make any effort encourage the children to wear mask. This requirement was sent to all the childcare providers by different Provider Information Notices (PINs) from the Department. The Orange County Childcare ordinance stated masks were required for children over 2 years old who attend the childcare facilities. LPA found out that the facility had not enforced this requirement among The director of administration stated that the children all have health issues and not able to wear mask.

The LPA requested the proof of the medical for the individual children not wearing mask and that the director of administration stated that CDSS or Orange County Health Department that medical exemptions were all that needed to be provided. LPA was not able to obtain any verification of the medical exemptions as of September 23,2021.

The Guidance for Childcare Industry Covid-19 update guidance: Childcare Programs and providers July 17, 2020 stated: children aged 2 years and older should wear face coverings, especially when indoors or when 6-foot physical distance from others cannot be maintained. Guidance for the use of face coverings took effect on June 15, 2021 and superseded all prior face guidance. The Guidance for Childcare Industry Covid-19 update guidance: Childcare Programs and providers for July 17, 2020 stated: children aged 2 years and older should wear face coverings, especially when indoors or It stated: The following individuals are exempt from wearing masks at all times: persons younger than 2 years old, persons with medical conditions.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann NelsonTELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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: AMERIMONT ACADEMY, INC
FACILITY NUMBER: 304370064
VISIT DATE: 09/23/2021
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
26
27
28
29
30
31
32
Continued From Page 1

LPA’s direct observation on September 23,202 at 04:15 PM in the eagles class room the preponderance of evidence standard has been met, based on direct observation of the children not wearing mask indoors is found to be SUBSTANTIATED.

California Code of Regulations, Title 22, Division & Chapter 12, Section 101223(a)(2) is being cited on the attached LIC 9099D. when 6-foot physical distance from others cannot be maintained. Guidance for the use of face coverings took effect on June 15, 2021 and superseded all prior face guidance.

An exit interview was completed with director Samantha Madrigal. The report was reviewed and discussed. 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.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann NelsonTELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
Page: 2 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: AMERIMONT ACADEMY, INC
FACILITY NUMBER: 304370064
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2021
Section Cited

1
2
3
4
5
6
7
101223 Personal Rights (a) (2) The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations ..

.This requirement was not met as evidenced by:
8
9
10
11
12
13
14

Based on direct observation on September 23, 2021 the two year old and up children in the Eagles class were not wearing facial mask. This poses a potential Health and Safety risk to the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann NelsonTELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3