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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843031
Report Date: 09/30/2021
Date Signed: 09/30/2021 03:27:11 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:ST. MARY'S MONTESSORI SCHOOL - FONTANAFACILITY NUMBER:
364843031
ADMINISTRATOR:DESEREE JONESFACILITY TYPE:
850
ADDRESS:7370 W. LIBERTY PARKWAYTELEPHONE:
(909) 200-4747
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY:129CENSUS: 94DATE:
09/30/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:33 PM
MET WITH:Deseree Jones/DirectorTIME COMPLETED:
03:50 PM
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On 9/30/2021, at 1:33 PM Licensing Program Analyst (LPA) Patricia Berry conducted a case management regarding a self reported incident. LPA was granted access into the facility and met with Deseree Jones, Director. LPA toured facility and took a census. During the visit, LPA conducted interviews with staff and children.

On 9/15/2021, the facility reported an incident where a child stated they were "scared" to be in their classroom. LPA, Director, Administrator, and a Teacher all spoke to the child regarding their statement. LPA attempted to interview the child and the child refused to talk to LPA.

LPA interviewed 4 other children who stated they are happy with their teachers and their friends. Children stated they are happy in their classroom.

Staff stated the children are all very happy and have great relationships with their friends. Staff stated there have been no issues in their classroom.

In addition to interviewing staff and children, LPA interviewed the guardian of the child who stated the child was “scared”. The Guardian stated they were comfortable with the child being in their classroom. LPA determined there was no violation of Title 22 regulations.

Exit interview conducted with director and report given. LPA observed director post Notice of Site Visit and appeal rights provided.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021
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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