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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843031
Report Date: 10/30/2024
Date Signed: 10/30/2024 02:42:46 PM

Document Has Been Signed on 10/30/2024 02:42 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:ST. MARY'S MONTESSORI SCHOOL - FONTANAFACILITY NUMBER:
364843031
ADMINISTRATOR/
DIRECTOR:		DESEREE JONESFACILITY TYPE:
850
ADDRESS:7370 W. LIBERTY PARKWAYTELEPHONE:
(909) 200-4747
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY: 129TOTAL ENROLLED CHILDREN: 134CENSUS: 80DATE:
10/30/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Alexis Hsieh, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 10/30/2024 at 12:30 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a case management inspection. LPA met with Director Alexis Hsieh and a tour/census was taken.

A case management inspection was conducted in response to the receipt of an Unusual Incident Report (UIR) from the Facility. The UIR was received by the licensing agency on 10/10/2024. The reported incident took place on 09/30/2024.


Based on information currently available, there were no deficiencies cited at this time.

LPA conducted an exit interview with Director Alexis Hsieh and provided a copy of this report.

A Notice of Site Visit was given and must remain posted for the next 30 days.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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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