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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371257
Report Date: 08/10/2020
Date Signed: 08/13/2020 09:30:00 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:INT'L MONTESSORI ACADEMY OF NEWPORT (2)FACILITY NUMBER:
304371257
ADMINISTRATOR:MAIDA, ASHLEYFACILITY TYPE:
850
ADDRESS:381 UNIVERSITY AVENUETELEPHONE:
(949) 631-9749
CITY:COSTA MESASTATE: CAZIP CODE:
92627
CAPACITY:30CENSUS: 0DATE:
08/10/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director Maida Ashley TIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Ketki Desai conducted a Virtual (Face time) Case Management Licensee initiated inspection for capacity decrease at the above facility. LPA met with Facility Administrator Ms. Maida Ashley, who gave a virtual tour of the site. There were no children present on site.

On today's inspection the capacity for Preschool is being decreased, only room B shall now be used for 15 preschoolers age 2-6 years old. Preschool room is a big room by itself with 1 toilet and 2 sinks.

Measurements of the one preschool room (B) is as follows:
Classroom B: 664 square feet divided by 35= 18 children

The outdoor yard used by this facility is currently licensed for use by the preschool on the premises. The yard will be shared by both facilities on a rotating basis. A shared outdoor play yard waiver is on file.

Outdoor Yard: 7060.799 square feet /75 = 94 children

Currently the facility is licensed for 30 preschool age children and is seeking to decrease to 15 preschool age children.

Based on today's measurements, facility has enough space for the requested capacity of 15 preschool serving ages 2 years old to 6 years. Monday to Friday 7.00 am to 6.00 PM. New License shall be issued after final approval.

This report and the appeal rights were emailed to the Director Ms. Asley Maida and the read receipt is in lieu of signature. Exit interview conducted via Face time. .
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Ketki DesaiTELEPHONE: (714) 743-8635
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2020
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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