<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371233
Report Date: 06/21/2023
Date Signed: 06/21/2023 02:38:14 PM

Document Has Been Signed on 06/21/2023 02:38 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:GUIDEPOST MONTESSORI AT LAS FLORESFACILITY NUMBER:
304371233
ADMINISTRATOR:BEYDOUN, MAHAFACILITY TYPE:
850
ADDRESS:28672 DEERPATHTELEPHONE:
(949) 339-2010
CITY:RANCHO STA MARGARITASTATE: CAZIP CODE:
92688
CAPACITY: 77TOTAL ENROLLED CHILDREN: 77CENSUS: 28DATE:
06/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Facility Representative, Yuwei HeTIME COMPLETED:
03:00 PM
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 Analysts (LPA) Aiddee Nunez conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 6/15/2023. LPA met with Regional Manager, Yuwei He. LPA observed 28 preschool age children with 4 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.

On 6/19/23, a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on 6/15/23, a child was standing on a chair in the classroom, waiving his arms, and the chair fell out from under him leading him to fall on his back. On 6/15/23, the child was taken to the Emergency Hospital and was seen by a physician and treated for a broken bone on his lower back.

During today's inspection, LPA interviewed 4 staff members and 5 preschool children. LPA obtained a copy of the children’s roster and personnel report. Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview was conducted. 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.

End of Report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Aiddee Nunez
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
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 1