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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334810472
Report Date: 09/29/2021
Date Signed: 09/30/2021 11:52:15 AM

Document Has Been Signed on 09/30/2021 11:52 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S MONTESSORI CENTERFACILITY NUMBER:
334810472
ADMINISTRATOR:SAPNA SACHDEVFACILITY TYPE:
840
ADDRESS:2791 GREEN RIVER ROADTELEPHONE:
(951) 735-5490
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY: 28TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
09/29/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Sapna SachdevTIME COMPLETED:
07:00 PM
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A change of ownership application was received. Licensing Program Analysts (LPAs) Kim Leung and Elyse Jones conducted prelicensing inspection with the applicant and a case management inspection on the current license at the facility this date on 9/29/2021. Upon arrival, LPAs met with facility director Sapna Sachdev. Census was taken and criminal record clearances were verified.

No deficiency was cited during this inspection.

Exit interview was conducted with director. Notice of Site Visit was issued and it must be posted at the facility for 30 days. A copy of this report was provided to the facility.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2021
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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