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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371286
Report Date: 11/20/2023
Date Signed: 11/20/2023 01:32:20 PM

Document Has Been Signed on 11/20/2023 01:32 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ENCHANTED CASTLE PINE TREE MONTESSORI SCHOOLFACILITY NUMBER:
304371286
ADMINISTRATOR:MADAN,P. & ZAVALA-BENITEZ,FACILITY TYPE:
850
ADDRESS:17102 MARDA AVENUETELEPHONE:
(714) 996-7463
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 39DATE:
11/20/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Director Amanda McGoughTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Anna Chan conducted an unannounced Plan of Correction (POC) inspection in response to a Type B violation issued on 10/25/23, 101216.4(a)(1) Preschool Program with Toddler Component, wherein Toddlers from the Toddler Component were napping together with the Twos class which is considered co-mingling.

LPA met with Director Amanda McGough. Current census observed was 39 napping children (which includes 34 napping preschool children, 5 toddlers from the toddler option program) and 4 staff.

During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The areas cited were re-checked and found to be corrected. Deficiencies cleared.

No further action needed at this time. POC letters given, and all corrections have been received at this time.

Exit interview conducted and report was reviewed with the Director Amanda McGough. 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 were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) 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. First level appeals should be sent to the regional manager to the address listed above.

End of Report

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2023
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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