<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300099
Report Date: 07/27/2021
Date Signed: 07/27/2021 10:03:25 AM

Document Has Been Signed on 07/27/2021 10:03 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:VISTA MONTESSORI COUNTRY PRESCHOOLFACILITY NUMBER:
376300099
ADMINISTRATOR:MANDY LEEFACILITY TYPE:
850
ADDRESS:777 TAYLOR STREETTELEPHONE:
(760) 945-9222
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 57TOTAL ENROLLED CHILDREN: 0CENSUS: 13DATE:
07/27/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Mandy LeeTIME COMPLETED:
10:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) James Wilkerson, Susan Brewer and Jeanette Sanchez arrived at the facility to conduct an inspection regarding the changing of ownership to Building Kidz Vista, facility number 376300325.

A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS.

A copy of this report was provided to the Director, Mandy Lee, on this date.

A copy of this report must be made available to the public, upon request, for the next 3 years
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1