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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371548
Report Date: 12/28/2022
Date Signed: 12/28/2022 11:53:59 AM

Document Has Been Signed on 12/28/2022 11:53 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:NOBIS MONTESSORIFACILITY NUMBER:
304371548
ADMINISTRATOR:FOSTER, SUSANFACILITY TYPE:
850
ADDRESS:264 NORTH MAIN STREETTELEPHONE:
(714) 997-8333
CITY:ORANGESTATE: CAZIP CODE:
92868
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 3DATE:
12/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:DirectorTIME COMPLETED:
12:30 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
Page 1 of 2
Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted an announced Case Management at this facility for the purpose of decreasing the existing total capacity from 48 children to 37 children including 12 toddlers ages 18 months to 36 months old from Toddler Option Program. (12 toddlers from toddler option program in Room # 1 and 25 preschool children ages 2 to 6 years old in Room # 2). LPA met with director, Susan Foster and Regional Director, Ashley Neitzke who gave LPA a tour of the preschool program. There were 3 children with 2 staff in Room # 2 observed. There were no children in Room # 1. Room # 1 is designated for toddlers from Toddler Option Program (18 to 36 months old). During the walk through LPA observed facility is following CDC and Dept of Public Health Guidelines.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Currently facility is licensed for total capacity of 48 children in Rooms # 1, and 2.
There is an elementary school on the premises under the Department of Education and facility has provided the Private School Affidavit. (classrooms # 3 and 4).

Facility has requested to decrease the number of Toddlers in Room # 1 from 24 to 12 toddles and increase the number of preschool children from 24 to 25 in Room # 2. (Total of 37 children). Preschool Program has its own yard. The facility will share the preschool yard with toddlers from Toddler Option Program on a rotating schedule. (A waiver is in place for this purpose). The facility has a side metal door where children are brought in by the parents, leading to the classrooms, this side door remains open till 8:30 am, and remains locked till the pick up time. Any late drop off or pick ups the parents have to access the Office door across the Elementary school play yard. Parents sign in manually in each classroom.
Continued on page 2
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE: DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/28/2022
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 2
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: NOBIS MONTESSORI
FACILITY NUMBER: 304371548
VISIT DATE: 12/28/2022
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 of 2

Total of indoor measurement for Room # 1 and Room # 2 is:
Total indoor space: 1811.68 divided by 35 = 51.76 ( 52 children)
Room # 1 for toddlers: 905 square feet divided by 35 is 25.85 (enough for 26 children)
Room # 2 for toddlers: 905 square feet divided by 35 is 25.85 (enough for 26 children)
Total children's sinks and toilets:
Toilets: 6 x 15 = 90 (children)
Sinks : 8 x 15 = 125 (children)
Room # 1 for toddlers use their own restroom with 3 toilets and 3 sinks which is separated from preschool restrooms.
Outdoor measurements activity space:
5951. 39 divided by 75 = 79.35 (79) children
Based on the measurements of indoor and outdoor space with sinks and toilets: Facility has sufficient space to accommodate 25 Preschool age children in Room # 2 and 14 toddlers in Room # 1.
Staff bathroom is designated for isolation bathroom for sick children temporarily until picked up,
Fire clearance has been granted by Orange County Fire Authority approving the total capacity of 37 children for rooms # 1 and 2.
In the areas that were evaluated, no deficiency was observed of the California Code of Regulations, Title 22, Division 12 at the time of the inspection.. Appeal Rights were presented. 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 director 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.
A license will be issued for the capacity of 37 children age 2-6 years old including 12 toddlers ages 18 to 36 months old in Room # 1, and 25 preschool children in Room # 2. Monday through Friday from 7:00 am to 6:00 pm. Waiver to share playground is on file.
The director will be notified if any additional information is required.
Exit interview conducted and report was reviewed with the Regional Director, Ashley Neitzke.

End of reports.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2