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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616551
Report Date: 07/06/2022
Date Signed: 07/06/2022 10:51:45 AM


Document Has Been Signed on 07/06/2022 10:51 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:COUNTRYHILL MONTESSORIFACILITY NUMBER:
343616551
ADMINISTRATOR:WALKER, REONNAFACILITY TYPE:
850
ADDRESS:7048 SUNRISE BLVD.TELEPHONE:
(916) 728-2929
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:102CENSUS: DATE:
07/06/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Hamid HosseiniTIME COMPLETED:
11:00 AM
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Licensing Program Manager (LPM) Seychelle De Luca and Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Hamid Hosseini, and Office Assistant, Ellie Salehi for the purpose of an Informal office visit.

LPM defined the difference between Non-Compliance and an Informal meeting. LPM advised that the purpose of today's meeting is to help the facility gain compliance.

Today's informal meeting was to discuss the Type A and B citations issued from 10/15/2021-06/08/2022 during Complaint and Case Management Inspections.

On 10/15/2021 the facility was cited a type B citation regarding Comingling.
On 1/5/2022 the facility was cited a type B citation regarding Qualifications and three type A citations regarding Ratio, Criminal Record Clearance, and Toddler Ratio.
On 2/2/2022 the facility was cited three type A citations regarding Qualifications, Criminal Record Clearance, and Ratio.
On 2/14/2022 the facility was cited a type A citation regarding Criminal Record Clearance.
On 4/4/2022 the facility was cited a type A citation regarding Criminal Record Clearance and a type B citation regarding Personnel Records.
On 5/10/2022 the facility was cited two type A citations regarding Qualifications and Ratio, and a type B citation regarding Parental Rights.
On 6/8/2022 the facility was cited five type A citations regarding Supervision, Ratio, and Qualifications and a type B citation regarding Reporting Requirements.

report continued on 809-C.
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2022
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: COUNTRYHILL MONTESSORI
FACILITY NUMBER: 343616551
VISIT DATE: 07/06/2022
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The Licensee stated that they have taken the following steps to maintain compliance:

1. The facility has hired two fully qualified teachers.
2. The facility has made schedule changes to remain in ratio.
3. Teachers have been trained on supervision regarding restroom use and outdoor play.
4. Corrections have been made to the outdoor play area to allow better supervision.

LPA Guerra provided the Licensee with self-assessment resources. LPA and LPM reviewed teacher qualifications, ratios, and supervision requirements. LPM and LPA provided information regarding the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering onsite support to licensees and providers. Licensee stated they would like to get enrolled in TSP services. LPA will follow up with child care center orientation information. LPM De Luca discussed using the Department website (ccld.ca.gov) for child care updates, current forms, legislation and regulation information. LPM De Luca suggested that Licensee can view information videos at www.ccld.childcarevideos.org .

This report was reviewed with the Licensee.

SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022
LIC809 (FAS) - (06/04)
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