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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844655
Report Date: 09/28/2021
Date Signed: 09/30/2021 11:33:28 AM

Document Has Been Signed on 09/30/2021 11:33 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:WHIZ KIDS MONTESSORI SCHOOLFACILITY NUMBER:
364844655
ADMINISTRATOR:CHAMARTY,KATYAINIFACILITY TYPE:
830
ADDRESS:14260 CHINO HILLS PKWY.TELEPHONE:
(909) 450-7187
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
09/28/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:03 PM
MET WITH:Katyaini ChamartyTIME COMPLETED:
05:55 PM
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Licensing Program Analyst (LPA) Kim Leung conducted a case management visit at the facility this date on 9/28/2021 in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 9/17/2021. Upon arrival, LPA met with facility director Kathy Chamarty and stated the purpose of the visit. Director stated that the incident occurred on the preschool playground involving a preschool child but it was documented using the facility number of the infant program by mistake.

During the inspection, LPA took census and verified criminal record clearances. LPA observed 3 staff members supervising 10 infants in the infant activity room.

No deficiency was cited during this inspection.

An exit interview was conducted with director Kathy Chamarty. A Notice of Site visit was issued and must be posted for 30 days.

A copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2021
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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