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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
304370078
Report Date:
03/05/2020
Date Signed:
03/05/2020 11:15:08 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:
SLATER MONTESSORI ACADEMY
FACILITY NUMBER:
304370078
ADMINISTRATOR:
KRISTA HOADLEY
FACILITY TYPE:
850
ADDRESS:
10316 SLATER AVENUE
TELEPHONE:
(714) 962-2799
CITY:
FOUNTAIN VALLEY
STATE:
CA
ZIP CODE:
92708
CAPACITY:
96
CENSUS:
56
DATE:
03/05/2020
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
09:30 AM
MET WITH:
Elizabeth Fearn Site DIrector
TIME COMPLETED:
11:30 AM
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On the above date LPA Nelson met with Elizabeth Fearn Site Director to review the requirements for food preparation kitchen areas. After record reviews and speaking with the site director there was a lack of clarity on what the regulation requirement was for food preparation areas over several years. LPA Nelson issued a( technical violation advisory note) to ensure facility compliance. The Site Director and Facility owner have 30 days to complete this regulation requirement or it will become a deficiency against the facility.
Exit interview was conducted. Notice of Site Visit was posted during the visit. Licensee 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. Licensee was provided with a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above. A copy of this report was provided to the licensee.
SUPERVISOR'S NAME:
Patricia Magana
TELEPHONE:
(714) 703-2821
LICENSING EVALUATOR NAME:
Jordann Nelson
TELEPHONE:
(714) 743-8228
LICENSING EVALUATOR SIGNATURE:
DATE:
03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
03/05/2020
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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