334844868-6-6-2019-09-CC-TZER-BCVNP4-20190606103743

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334844868
Report Date: 06/06/2019
Date Signed: 06/06/2019 10:37:51 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:	MONTESSORI SCHOOL OF CORONA		FACILITY NUMBER:	334844868
ADMINISTRATOR:	VARMA, MAHIMA		FACILITY TYPE:	850
ADDRESS:	260 W. ONTARIO AVENUE		TELEPHONE:	(951) 371-6731
CITY:	CORONA	STATE: CA	ZIP CODE:	92882
CAPACITY:	96	CENSUS: 0	DATE:	06/06/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Tabitha Moraldo		TIME COMPLETED:	10:50 AM

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	Licensing Program Analysts (LPAs), Taadhimeka Zeigler, Joanne Domingo, Timeka Reed, and James Wilkerson conducted a case management inspection at Licensee's request. The facility is requesting to convert an existing school age room to a Toddler Option room. LPAs met with Director, Tabitha Moraldo. The current days and hours of operation are: Monday - Friday, 6:00 am - 6:30 pm for children ages 24 months through 5 years old. Toddler Option Room #5 Indoor Activity Areas LPAs have determined that there is sufficient space to accommodate 24 children. Preschool Bathroom Fixtures WAIVER TO SHARE THE SCHOOL-AGE GIRLS BATHROOM WITH THE PRESCHOOL WAS GRANTED 04/19/2019. THE SCHOOL-AGE GIRLS BATHROOM IS LOCATED IN THE OUTDOOR HALLWAY ACROSS FROM THE PRESCHOOL #4 CLASSROOM AND HAS 5 TOILETS AND 4 SINKS. Toddler Option Outdoor Activity Area: LPAs have determined that there is sufficient space to accommodate 24 children. 18-24 months will use playground #1.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka Zeigler	TELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019

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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MONTESSORI SCHOOL OF CORONA	FACILITY NUMBER: 334844868
	VISIT DATE: 06/06/2019

NARRATIVE

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· This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

An exit interview was conducted and during the interview, Director, Tabitha Moraldo confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

The following items need to be completed/corrected prior to a license being issued:

1. Updated Application (LIC 200A)
2. $25 increase in capacity fee
3. Approved Fire Clearance to include room #5
4. Approved waiver is needed to allow Toddler Option to share pre-school playground #2 on a rotational basis with the pre-school classrooms.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka Zeigler	TELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019

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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MONTESSORI SCHOOL OF CORONA	FACILITY NUMBER: 334844868
	VISIT DATE: 06/06/2019

NARRATIVE

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Once all corrections have been made, with proof sent to licensing, and the fire clearance has been obtained, the application will be submitted for approval with a maximum capacity of 120 preschool children including 24 toddlers ages 18 - 36 months. As agreed upon by the applicant, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application will be denied. An exit interview was conducted and a copy of this report was provided to the Director, Tabitha Moraldo on this date.

A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka Zeigler	TELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019

LIC809 (FAS) - (06/04)

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