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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370956
Report Date: 09/12/2023
Date Signed: 09/12/2023 09:53:15 AM


Document Has Been Signed on 09/12/2023 09:53 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 CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:MILESTONES MONTESSORI OF IRVINEFACILITY NUMBER:
304370956
ADMINISTRATOR:GOLDEN, KRISTELFACILITY TYPE:
850
ADDRESS:16601 ARMSTRONG AVENUETELEPHONE:
(949) 553-0555
CITY:IRVINESTATE: CAZIP CODE:
92606
CAPACITY:230CENSUS: 154DATE:
09/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Director, Kristel Golden TIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Aiddee Nunez conducted a Case Management Inspection to investigate an Unusual Incident Report (UIR) which was self-reported to our office on 8/16/2023. This is a continuation investigation from 8/23/23. Upon entry to the facility, LPA Nunez met with Director, Kristel Golden. LPA toured the facility and census was taken as follows: 144 preschool children, 10 toddler children, 3 toddler staff members, and 18 preschool staff members. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Self-reported incident received on 8/16/2023 stated Child#1 (C1) claimed that Staff#1 (S1) hit C1. According to S1 the only time S1 interacted with C1 was on 7/28/23 during nap time. S1 stated that during nap time S1 pats children on the back to help them fall asleep. S1 believes C1 must have mistaken hitting with patting his back. C1 also alleged that on 8/6/23 S1 had hit C1. However, the director Staff#2 stated that on 8/6/23 S1 was not near C1.



LPA Nunez called Parent#1(P1) to ask if LPA can interview C1 but P1 did not want LPA to interview C1. LPA Nunez tried to ask P1 for follow up questions but P1 kept referring LPA to ask the facility. P1 stated P1 told everything to the facility and LPA should get the information from the school.
LPA Nunez interviewed 5 staff members that have worked with S1 and 5 out 5 staff members indicated that S1 is kind, respectful, and caring to the children. 5 out of 5 staff members stated they have not observed S1 being mean or abusive to the children. 5 out 5 staff members have also stated that they have seen S1 pat the children on their back to help them fall asleep.

LPA interviewed 5 children that interacted with S1. 2 out 5 children indicated that S1 has pat them on their back to help them fall asleep. 5 out 5 children stated they did not have negative interactions with S1.
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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/12/2023
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MILESTONES MONTESSORI OF IRVINE
FACILITY NUMBER: 304370956
VISIT DATE: 09/12/2023
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LPA advice S1 and S2 it is best if staff do not pat children on their back to help them fall asleep.

Based on the available information to the LPA, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

An Inspection and exit interview were completed with facility representative. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 703-2800
LICENSING EVALUATOR NAME: Aiddee NunezTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023
LIC809 (FAS) - (06/04)
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