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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844579
Report Date: 12/04/2024
Date Signed: 12/04/2024 04:00:58 PM

Document Has Been Signed on 12/04/2024 04:00 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MONTY'S MONTESSORI ACADEMY OF CALIMESAFACILITY NUMBER:
334844579
ADMINISTRATOR/
DIRECTOR:		LISA GILFILLANFACILITY TYPE:
850
ADDRESS:9580 CALIMESA BLVDTELEPHONE:
(909) 795-2472
CITY:CALIMESASTATE: CAZIP CODE:
92320
CAPACITY: 64TOTAL ENROLLED CHILDREN: 62CENSUS: 51DATE:
12/04/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:27 AM
MET WITH:Jennifer McClintock, Assistant DirectorTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
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On the date and time listed above, Licensing Program Analysts (LPAs) Eric Ramos and Perla Ordones arrived at the facility to conduct an inspection regarding a separate matter.

Additionally, while LPAs were conducting census, one staff member present (S1), was observed engaging with the day care children and was not associated to the facility. This is a violation of Title 22 regulation 101170(e)(2) Criminal Record Clearance. LPAs informed Assistant Director Jennifer McClintock to submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov.

A civil penalty has been assessed during this inspection, payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. You will receive an invoice in the mail. Do not send money until you receive your invoice. Do not send cash.

See LIC809-D for cited deficiency.

LPAs Eric Ramos and Perla Ordones informed Assistant Director Jennifer McClintock that this report dated 12/04/2024 document(s) one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

LPAs Eric Ramos and Perla Ordones also informed Assistant Director Jennifer McClintock to provide a copy of this licensing report dated 12/04/2024 that documents any Type A citation(s) 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.
Ana NobleTELEPHONE: (951) 782-3278
Eric RamosTELEPHONE: (916) 704-7541
DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTY'S MONTESSORI ACADEMY OF CALIMESA
FACILITY NUMBER: 334844579
VISIT DATE: 12/04/2024
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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.

Exit interview was conducted and report was reviewed with the facility representative Jennifer McClintock.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 782-3278
LICENSING EVALUATOR NAME: Eric RamosTELEPHONE: (916) 704-7541
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/04/2024 04:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: MONTY'S MONTESSORI ACADEMY OF CALIMESA
FACILITY NUMBER: 334844579

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
(e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility:
(2) Request a transfer of a criminal record clearance as specified in Section 101170(f)
This requirement is not met as evidenced by:
Deficient Practice Statement
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POC Due Date: 12/04/2024
Plan of Correction
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Licensee agrees to have S1 associated to the facility and agrees to provide proof to Community Care Licensing (CCL) by the Plan Of Correction (POC) due date of 12/05/2024
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana NobleTELEPHONE: (951) 782-3278
Eric RamosTELEPHONE: (916) 704-7541

DATE: 12/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/04/2024

LIC809 (FAS) - (06/04)
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