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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844868
Report Date: 03/13/2024
Date Signed: 03/13/2024 09:56:03 AM


Document Has Been Signed on 03/13/2024 09:56 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:MONTESSORI SCHOOL OF CORONAFACILITY NUMBER:
334844868
ADMINISTRATOR:VARMA, MAHIMAFACILITY TYPE:
850
ADDRESS:260 W. ONTARIO AVENUETELEPHONE:
(951) 371-6731
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:120CENSUS: 71DATE:
03/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Dejah Hoxie, DirectorTIME COMPLETED:
10:10 AM
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On 3/13/2024 at 09:10 AM, Licensing Program Analyst (LPA) Claudia Caywood arrived at the facility to conduct a Case Management report amendment. Upon arrival, LPA was met by Director, Dejah Hoxie. LPA stated to the Director the purpose of the visit.

LPA explained to the Director that the 3-year inspection report 809 dated 2/28/2024 needed to be amended to reflect that a page 809-D had been created in error and a 809-C page had been edited to show lead testing had not been completed by the deadline. Director signed amended report and a copy was provided to the Director, Dejah Hoxie.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to the Director, Dejah Hoxie.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4800
LICENSING EVALUATOR NAME: Claudia CaywoodTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/13/2024
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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