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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842076
Report Date: 04/05/2022
Date Signed: 04/05/2022 12:21:47 PM


Document Has Been Signed on 04/05/2022 12:21 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:ST. MARY'S MONTESSORI SCHOOLFACILITY NUMBER:
364842076
ADMINISTRATOR:MARTINEZ DESERIEFACILITY TYPE:
830
ADDRESS:6880 N VICTORIA WINDROWS LOOPTELEPHONE:
(909) 200-2727
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91739
CAPACITY:28CENSUS: 24DATE:
04/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Director Deserie Martinez and Administration Manager Emily TurnerTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection to identify and measure the rooms assigned to the Infant Program.
The days and hours of operation for the Infant Program are Monday through Friday; 6:30am to 6:30pm.

LPA Lopez toured the facility and measured the rooms (Baby Breath and Sun Flower) that are assigned to the Infant Program. Based on the measurements taken, the following was determined:

Infant Indoor Activity Areas
LPA has determined that there is sufficient space to accommodate 28 infants.

Infant Outdoor Activity Area:
The outdoor activity area assigned for the infants was previously measure on 10/30/2020. Based on that measurement it was determined that there is sufficient space to accommodate 23 infants.

Since the facility is licensed for 28 infants, a waiver will be needed for the outdoor space due to insufficient square footage.

A waiver has been submitted and is awaiting approval.

Limiting factor for infant capacity is the Fire Clearance previously issued. Infant license capacity was verified to be, as previously licensed, and limited to 28 Infants.

ยท A review of staff records on 4/5/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2022
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ST. MARY'S MONTESSORI SCHOOL
FACILITY NUMBER: 364842076
VISIT DATE: 04/05/2022
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There were no deficiencies observed during today's inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted and report was reviewed with the Director Deserie Martinez and Administration Manager Emily Turner
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022
LIC809 (FAS) - (06/04)
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