304371459-3-21-2025-06-CC-AFCN-DEYV88-20250321161219

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371459
Report Date: 03/21/2025
Date Signed: 03/21/2025 04:12:37 PM

Document Has Been Signed on 03/21/2025 04:12 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:	IVYCREST MONTESSORI		FACILITY NUMBER:	304371459
ADMINISTRATOR/ DIRECTOR:	OH, MICHELLE		FACILITY TYPE:	850
ADDRESS:	6555 FAIRMONT BLVD.		TELEPHONE:	(714) 777-2511
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92886
CAPACITY: 112	TOTAL ENROLLED CHILDREN: 112	CENSUS: 69	DATE:	03/21/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:40 PM
MET WITH:	Teacher Monica Arceo		TIME VISIT/ INSPECTION COMPLETED:	04:20 PM

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On 03/21/25, Licensing Program Analyst (LPA) Anna Chan conducted an unannounced inspection for the purpose of an Annual Random visit. LPA met with teacher Monica Arceo. LPA and teacher made a tour of the facility inside and outside. The floor and yard plan (LIC 999) were verified. Census was taken. Overall census was 69 preschool children and 6 staff. (Room #1 has 15 napping Toddlers and 2 staff, Room #2 has 19 napping preschoolers and 1 staff, Room #3 has 13 preschoolers and 1 staff, Room #4 has 22 preschoolers and 2 staff)

During the inspection it was determined the facility was operating within its licensed capacity but not within compliance of staffing ratios. Based on interview, Staff 6 (S6) stated they miscalculated the number of children in room #3. 1 child was immediately moved to room #4 to be in ratio.

Facility hours are 7:00 a.m.- 6:00 p.m., Monday through Friday. 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 inspection of the indoor activity space, items which could pose a danger to children (cleaning compounds, and medications) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Children bring morning and afternoon snacks and may bring lunch, or a hot lunch is provided to children by the facility. Menus were posted where the parents could see it.

Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. There is drinking water available to children indoors is by purified water gallon bottles and children bring sports bottles properly labeled with names on it.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: IVYCREST MONTESSORI	FACILITY NUMBER: 304371459
	VISIT DATE: 03/21/2025

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Children nap on cots, and bedding is stored individually and brought home to be washed weekly. The facility has a working carbon monoxide detector and fire extinguisher. The facility conducted an emergency drill within the past six months on 02/04/25. Facility met all posting requirements.

The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. There is a separate toddler yard. The cushioning material in the toddler play yard is a pour in place rubber surface which appears to be enough to absorb falls. The cushioning material for the preschool play yard is rubber bark around the climbing equipment, slides and other similar equipment appeared to be enough to absorb falls. The preschool yard has a small bike path for the bicycles. Drinking water in the outdoor activity space is provided by purified water bottle and refills the children’s sports bottles. The outdoor equipment and toys were in good repair and free of sharp edges. The surface of the outdoor activity space was well maintained and free of hazards. There are no bodies of water present at the facility and none was observed during the inspection.

8 Staff files were reviewed for staff present during the facility inspection on this date. Health screening and immunization as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1597.622 states, a person shall not be employed or volunteer at a childcare center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles for staff were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 07/2026.

5 Children's records were reviewed, and there was a separate, complete and current record for each child. Sign in/out procedure was reviewed through Procare. Each child representative has their own log in ID. There is a 15-minute sleep log for infant/toddlers 24 months and under. In the areas reviewed the children’s files were found to be in full compliance.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: IVYCREST MONTESSORI	FACILITY NUMBER: 304371459
	VISIT DATE: 03/21/2025

NARRATIVE

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LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301(voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at:https://www.ada.gov/resources/child-carecenters

LPA discussed the safe sleep regulations with teacher, because this preschool program has Toddler Option Component ages 18 to 36 months. LPA discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed Ms Arceo of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Teacher, Monica Arceo was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Based on observation and interview, it was determined that the facility has violated California Code of Regulations, Title 22, Division 12, Section 101216.3(a) Teacher-Child Ratio. See LIC809D for 1 Type A citation.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: IVYCREST MONTESSORI	FACILITY NUMBER: 304371459
	VISIT DATE: 03/21/2025

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LPA Chan informed Teacher Monica Arceo, that this report dated 03/21/2025 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Ms Monica Arceo to provide a copy of this licensing report dated 03/21/2025 that documents any Type A citation 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 and deficiency were reviewed and discussed with Teacher Monica Arceo. A notice of site visit was given and must remain posted for 30 consecutive days.

Appeal Rights were explained. Teacher Monica Arceo was provided a copy of appeal rights (LIC 9058 03/22) 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.

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SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/21/2025 04:12 PM - It Cannot Be Edited

Created By: Anna Francesca Chan On 03/21/2025 at 03:46 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: IVYCREST MONTESSORI	FACILITY NUMBER: 304371459
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/21/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101216.3(a)

Teacher-Child Ratio

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above, there were 13 children with 1 staff in room #3 which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 03/24/2025
	Plan of Correction
1 2 3 4	Teacher Monica Arceo stated they will ensure facility is in ratio at all times. Teacher stated they will submit a written statement with action plan to LPA by due date of 3/24/25.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Martha Malane

LICENSING EVALUATOR NAME:

Anna Francesca Chan

LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

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