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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844868
Report Date: 02/04/2021
Date Signed: 02/04/2021 03:21:31 PM

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 CORONAFACILITY NUMBER:
334844868
ADMINISTRATOR:VARMA, MAHIMAFACILITY TYPE:
850
ADDRESS:260 W. ONTARIO AVENUETELEPHONE:
(951) 371-6731
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:120CENSUS: 29DATE:
02/04/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:26 AM
MET WITH:Tabitha Moraldo & Mihima VarmaTIME COMPLETED:
11:00 AM
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On February 4, 2021 LPA Jones contacted the facility Director, Tabitha Moraldo, and Licensee, Mihima Varma, to conduct a Case Management inspection via FaceTime after the Department was made aware that the facility may need some Covid-19 guidance. A virtual tour inside and outside was given and census were taken.

During the Case Management inspection LPA Jones observed two staff who were not wearing face coverings, however, the two staff were not within six feet of children. LPA Jones also observed children over the age of two were not wearing face coverings and were within six feet of each other. LPA Jones reviewed the Guidance for Child Care Providers issued by Department of Public Health. LPA Jones advised the Director and Licensee to contact the Department of Public Health for further clarification.

An exit interview was conducted with Tabitha Moraldo. LPA Jones provided the Director a copy of this report, the Guidance for Child Care Providers issued by Department of Public Health and a Notice of Site Visit via email with an electronic “read receipt”. LPA asked the Director to acknowledge receipt of the email by replying with "I am acknowledging I have received a copy of the LIC 809, Guidance for Child Care Providers issued by Department of Public Health and the Notice of Site Visit dated February 4, 2021. A copy of this report was emailed to the Licensee after the call. LPA asked the Licensee to print, sign and scan a copy back to her for the facility file. The Notice of Site Visit must be posted at a prominent location for the next 30 days.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021
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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