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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370064
Report Date: 03/22/2024
Date Signed: 03/22/2024 09:11:42 AM

Document Has Been Signed on 03/22/2024 09:11 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:AMERIMONT ACADEMY, INCFACILITY NUMBER:
304370064
ADMINISTRATOR:MADRIGAL, SAMANTHAFACILITY TYPE:
850
ADDRESS:490 ANAHEIM HILLS ROADTELEPHONE:
(714) 974-4664
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 30DATE:
03/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Director Lori MaciasTIME COMPLETED:
09:25 AM
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On 3/22/24, a case management inspection was conducted today by Licensing Program Analyst (LPA) Chan who met with Director Lori Macias. The purpose of the inspection is to amend a report dated 12/28/23. Upon arrival there were 4 staff present and 30 preschool children in care. Head of School Samantha Madrigal arrived shortly after, around 9am.

A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

No deficiencies cited during this visit.



Exit interview was conducted with Head of School Samantha Madrigal. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledge receipt of these rights. The first level appeal is to Regional Manager, address is above on the report.

End of Report

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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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