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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334810747
Report Date: 04/20/2021
Date Signed: 04/21/2021 08:29:24 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:WOODCREST MONTESSORI EDUCATION CENTERFACILITY NUMBER:
334810747
ADMINISTRATOR:DIANE MARTINEZFACILITY TYPE:
850
ADDRESS:16191 WASHINGTON STREETTELEPHONE:
(951) 789-9319
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:66CENSUS: 0DATE:
04/20/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:01 PM
MET WITH:Elizabeth Bunker-Owner/Executive DirectorTIME COMPLETED:
04:45 PM
NARRATIVE
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On 04/20/2021 at 3:00 pm, a case management visit was completed by Licensing Program Analyst (LPA) Andrea Taylor due to deficiencies found during the course of another inspection.


A staff member disclosed they allowed a parent to sign out and leave with that parent’s child earlier than the court ordered time for that parent to pick up their child from care. According to the staff member this occurred on more than one occasion. The staff member stated the owner spoke to them about allowing the child to leave earlier than court ordered time and told the staff to make sure the court order is followed.

LPA Taylor obtained the sign in and out sheets which did not have a signature of guardian for in or out sheets on some of the sheets.

LPA Taylor requested copies of sign in and out sheets and discovered Licensee did not keep copies of some of the sign in and out sheets.

Please see LIC 809D for deficiencies cited.

An exit interview was completed. The report and deficiencies were reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.
The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2021
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: WOODCREST MONTESSORI EDUCATION CENTER
FACILITY NUMBER: 334810747
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2021
Section Cited

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Sign In and Sign Out-
The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.
This requirement was not met as evidenced by copies of some sign in and
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out sheet which only had the time of the sign in and out but no signature. This poses a potential Health, Safety or Personal Rights risk to the children in care.
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Type B
05/10/2021
Section Cited

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The sign-in/out sheets with the signatures required by this section shall be kept for one month and shall be available at the center for review by the Department. This requirement was not met as evidenced by Licensee did not have copies. This poses a potential Health, Safety or Personal Rights risk to the 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: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2021
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: WOODCREST MONTESSORI EDUCATION CENTER
FACILITY NUMBER: 334810747
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/10/2021
Section Cited

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To request in writing that a parent not be allowed to visit a child or take a child from the child care center provided the custodial parent has shown a certified copy of a court order pursuant to Health and Safety Code Section 1596.857.
This requirement was not met as evidenced by a staff admitting
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 they did not abide to the legal custody order when allowing a father to pick up his child prior to court ordered time. This poses a potential Health, Safety or Personal Rights risk to the 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: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2021
LIC809 (FAS) - (06/04)
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