304371143-4-12-2023-06-CC-DTHN-CQTMHC-20230412093720

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371143
Report Date: 04/12/2023
Date Signed: 04/12/2023 09:37:26 AM

Document Has Been Signed on 04/12/2023 09:37 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:	GUIDEPOST MONTESSORI FOOTHILL RANCH		FACILITY NUMBER:	304371143
ADMINISTRATOR:	SOLIMAN, RENAH		FACILITY TYPE:	830
ADDRESS:	26462 TOWN CENTRE DRIVE		TELEPHONE:	(949) 340-1695
CITY:	FOOTHILL RANCH	STATE: CA	ZIP CODE:	92610
CAPACITY:	54	CENSUS: 5	DATE:	04/12/2023
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	07:55 AM
MET WITH:	Nichole Ontiveros		TIME COMPLETED:	09:51 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Dean Thompson conducted an unannounced case management incident inspection in response to a self reported Unusual Incident dated 4/10/2023. LPA met with Director Nichole Ontiveros. LPA toured the facility and observed 5 toddler children with 5 staff. A review of the Facility Personnel Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. On 4/10/2023 a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported a child being left unattended without any supervision from staff on the play yard. Director stated at 5:00 PM, children were transitioning from the play yard back inside the classrooms. Teacher (S1) brought her toddler children inside to join Teacher (S2) toddler children inside room #1. Teacher (S3) brought her toddler children inside to room #2. Director stated a parent who is not associated to the license, was on the play yard picking up her son and noticed child (C1) was alone on the play yard without any staff present. The parent then brought child (C1) inside room #2. Continue to page 2

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: GUIDEPOST MONTESSORI FOOTHILL RANCH	FACILITY NUMBER: 304371143
	VISIT DATE: 04/12/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 2

On 4/12/2023 LPA interviewed the three staff that were present on the day child (C1) was left on the play yard without staff present. Two staff stated child (C1) was left on the play yard without staff present for seconds. One staff stated child (C1) was left unattended for roughly 60 seconds.

Based on LPA staff interviews and statements, it was revealed that child (C1) was left on the play yard on 4/10/2023 without any staff supervision. Child (C1) was left unattended on the play yard while staff were inside the center. The following violation Responsibility for providing care and supervision was revealed today and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, 101229 (a)(1) . Please see the attached LIC 809D.

LPA Thompson informed Director Nichole Ontiveros that this report dated 4/12/2023 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Thompson informed Director Nichole Ontiveros to provide a copy of this licensing report dated 4/12/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Director Nichole Ontiveros. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights and deficiencies 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.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3

Document Has Been Signed on 04/12/2023 09:37 AM - It Cannot Be Edited

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: GUIDEPOST MONTESSORI FOOTHILL RANCH	FACILITY NUMBER: 304371143
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/12/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/19/2023 Section Cited	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time.... Supervision shall include visual observation.	1 2 3 4 5 6 7	Director agreed to conduct a training for the staff in relation to Responsibility for Providing Care and Supervision and will watch the Department Training video related to Providing Care and Supervision on the Department website at www.ccld.ca.gov. A sign in sheet will be provided to the Department related to the training discussion and the attendees by the due date 4/19/23.
	8 9 10 11 12 13 14	Based on LPA staff interviews and statements, it was revealed that child (C1) was left on the play yard on 4/10/2023 without any staff supervision. Child (C1) was left unattended on the play yard while staff were inside the facility.	8 9 10 11 12 13 14	Director has implemented a training for name to face count on 4/11/2023. https://ccld.childcarevideos.org/child-care-center-operators/
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean Thompson	TELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3