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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300747
Report Date: 09/20/2023
Date Signed: 09/20/2023 01:45:18 PM


Document Has Been Signed on 09/20/2023 01:45 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:SHADOWRIDGE MONTESSORI SCHOOLFACILITY NUMBER:
376300747
ADMINISTRATOR:SANDRINE BUNTINFACILITY TYPE:
850
ADDRESS:1940 SHADOWRIDGE DRTELEPHONE:
(858) 922-5128
CITY:VISTASTATE: CAZIP CODE:
92081
CAPACITY:144CENSUS: 57DATE:
09/20/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:SANDRINE BUNTINTIME COMPLETED:
02:00 PM
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On September 20, 2023 at 12PM, Licensing Program Analysts (LPA's) William Chancellor and Jessica Rubio arrived at the facility to conduct an inspection for an increase in capacity to the toddler component. The facility will now be using a room that was designated for preschool for the toddler component, which will decrease the preschool capacity.

Measurements were taken and the following was determined:

Indoor Activity Areas - Room 4.
LPA has determined that there is sufficient space to accommodate 15 children.

Outdoor Activity Area - Toddler Playground
Was previously measured and LPA determined that there is sufficient space to accommodate 36 children. Classes will need to stagger playground times.

Limiting factor for Toddler Program capacity is indoor activity area. The original Fire Clearance was granted on 3/29/2023. Toddler component is limited to 39 children (24 children in Room 6, 15 children in Room 4).

Due to this change the preschool capacity has now decreased to 105 children.

An exit interview was conducted, appeal rights were discussed and a copy of this report will be provided to Director Sandrine Buntin. A notice of site visit will also be provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: William M Chancellor Jr.TELEPHONE: 951-218-3214
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2023
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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