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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371290
Report Date: 03/05/2024
Date Signed: 03/05/2024 02:40:31 PM

Document Has Been Signed on 03/05/2024 02:40 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:LITTLE THINKERS MONTESSORI ACADEMYFACILITY NUMBER:
304371290
ADMINISTRATOR:KALUGAMPITIYA, LILAMANIFACILITY TYPE:
830
ADDRESS:34240 CAMINO CAPISTRANOTELEPHONE:
(949) 488-7939
CITY:CAPISTRANO BEACHSTATE: CAZIP CODE:
92624
CAPACITY: 7TOTAL ENROLLED CHILDREN: 7CENSUS: 0DATE:
03/05/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee Junyan Duan and Director Lilamani KalugampitiyaTIME COMPLETED:
02:40 PM
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An informal office meeting was conducted on this date, 3/5/2024, in the Orange County Regional Office. In attendance was Licensing Program Manager (LPM), Patricia Magana, Licensing Program Analyst (LPA), Anna Francesca Chan, Licensee, Junyan Duan and Director, Lilamani Kalugampitiya.

The purpose of the informal meeting was to discuss the following citations that were issued on:

07/29/21 & 11/29/23 - 1596.8662(b)(1) Administration for Child Care Licensing Licensee did not ensure 1 out of 4 staff had a current Mandated Reported Training Certificate. Training was completed with staff and certificates were sent to LPA Bootarabi. The director stated they have a checklist in the employee's file.

07/29/23 - 101419.2(b)(2) Infant Needs and Services Plan License did not ensure that infants under the age of 12 months had an LIC9227 Individual Infant Sleeping Plan on file. The director stated that staff Ms Annie and Ms Faye (lead teacher) will make sure to look into the children's file and update if necessary.

08/17/23 - 101221(a) Children's Records License did not ensure that children’s records were complete as child # 3 did not have an LIC613 or LIC995 signed by an authorized representative or a fully completed and signed LIC700. The director stated they will make sure to look into the documents prior to start date of children. The director stated her and Ms Annie have a backup plan in reviewing files and there is checklist for the file.

11/29/23 - 101427(j) Infant Care Food Service Licensee did not ensure that the containers and bottles for infants are properly labeled. Director stated she checks the labels regularly and puts names when labels are missing.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LITTLE THINKERS MONTESSORI ACADEMY
FACILITY NUMBER: 304371290
VISIT DATE: 03/05/2024
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11/29/23 - 101430(a)(3)(C) Infant Care Activities Licensee did not follow regulations of safe sleep. An infant shall not be swaddled while in care. LPA observed an infant wearing a sleep sack with sleeves while sleeping. The facility stated they informed parents that the facility cannot have children put on sleep sacks. The facility was reminded that they can show parents the regulations on safe sleep.

11/29/23 - 101439.1(b)(1) Infant Care Center Sleeping Equipment Licensee did not ensure that the crib mattress had fitted sheets. The facility stated they asked the parents to bring the correct sheet size for the mattress. The reminder is also displayed on the board in the classroom and office by the entrance of the facility. The facility has extra fitted sheets in case the parents are not able to bring sheets.

11/29/23 - 101439(h)(4) Infant Care Center Fixtures, Furniture, Equipment and Supplies Licensee did not ensure that, while in use, the changing table was within arm's reach of a sink. The changing table was moved within arm’s reach of a sink.

Since issuance of the citations, the Director has provided documents and information required pursuant to the plans of correction.

Increased unannounced visits to the facility will be conducted by Community Care Licensing for the next 2 years to monitor compliance. The purpose of these increased inspections is to ensure the Department is working with the licensee for continued compliance with applicable regulations and code.

The following was discussed with the licensee:
1. The facility must be in compliance at all times.
2. The licensee was advised the facility will be placed on increased required visits for the next two years.
3. The licensee was advised that subsequent citations within the next 12 months may result in civil penalties.
4. The licensee shall visit the CDSS website and review the Safe Sleep page at: https://cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep.
5. The licensee shall complete the Record Keeping Orientation for Child Care Centers found on the CDSS website at: https://cdss.ca.gov/inforesources/child-care-licensing/how-to-become-licensed/ccc-online-orientations

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: LITTLE THINKERS MONTESSORI ACADEMY
FACILITY NUMBER: 304371290
VISIT DATE: 03/05/2024
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Resources provided: The licensee has been enrolled to receive important updates. PINs may be accessed at: https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care. Quarterly Updates may be accessed at: https://www.cdss.ca.gov/inforesources/community-care/self-assessment-guides-and-key-indicator-tools/quarterly-updates

LPA provided with webinar resources https://www.cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers

In today’s office meeting, TSP was discussed, and licensee agreed to receive TSP services. TSP referral will be sent to licensee.

Exit interview conducted with Licensee, Junyan Duanand Director, Lilamani Kalugampitiya, who are in agreement with the above. A copy of this report was provided to Licensee, Junyan Duan and Director, Lilamani Kalugampitiya.

Report was emailed to the facility at info@littlethinkersmontessoriacademy.com

Page 3 of 3 End of Report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC809 (FAS) - (06/04)
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