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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416975
Report Date: 05/01/2024
Date Signed: 05/01/2024 02:14:17 PM

Document Has Been Signed on 05/01/2024 02:14 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ORION MONTESSORI SCHOOLFACILITY NUMBER:
434416975
ADMINISTRATOR/
DIRECTOR:		SORAYA RAFATFACILITY TYPE:
840
ADDRESS:1055 SOUTH MONROE STREETTELEPHONE:
(408) 881-4853
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY: 30TOTAL ENROLLED CHILDREN: 27CENSUS: 24DATE:
05/01/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:36 PM
MET WITH:Soraya RafatTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Marilou Monico conducted a Plan of Correction (POC) inspection. LPA met with Site Director, Soraya Rafat. The school age program was cited on April 29, 2024 under Teacher-Child Ratio. LPA toured the facility.

LPA observed the following:
1) One teacher and one teacher's aide present in Room 46 with 24 school age children.

As a result of this inspection, deficiency under Teacher-Child Ratio is hereby corrected and cleared. There were no deficiencies cited.

Exit interview conducted and report was reviewed with Site Director, Soraya Rafat.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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