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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371731
Report Date: 08/11/2026
Date Signed: 08/11/2026 11:40:30 AM

Document Has Been Signed on 08/11/2026 11:40 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:DANA POINT MONTESSORIFACILITY NUMBER:
304371731
ADMINISTRATOR/
DIRECTOR:
LEE, TEDRAFACILITY TYPE:
860
ADDRESS:33495 DEL OBISPO STREETTELEPHONE:
(949) 443-4213
CITY:DANA POINTSTATE: CAZIP CODE:
92629
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 15DATE:
08/11/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Owner/Licensee Vashi, Megha.TIME VISIT/
INSPECTION COMPLETED:
11:50 PM
NARRATIVE
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On 8/11/2026, Licensing Program Analyst (LPA) V. Trinh, and (LPA) J. Carreiro conducted an unannounced case management inspection to follow up on an unusual incident that was reported by the facility to the Department. Upon arrival, LPAs were led on a tour by Facility Representative Tedra Lee. Around 9:49am Owner/licensee Vashi, Megha arrived to assist the LPAs. The overall census was 15 children Infant/toddler children. The census was taken in individual classrooms: four (4) infants with two (2) staff members, 11 toddlers with two (2) Staff members, were observed. During the inspection, it was determined that the facility is operating within its licensed capacity and in compliance with staff-to-child ratios. Hours of operation are Monday- Friday, 7:30 a.m.- 5:30 pm.

A review of the Facility Personnel Report Summary on this date 8/11/2026 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received an incident report on 06/18/2026 indicating that an Orange County Sheriff's deputy, Badge #9350, responded to the facility on 06/17/2026 at approximately 5:15–5:20 pm to investigate allegations of child abuse. According to the report, Deputy Cooper arrived at the facility to follow up on a call alleging that Staff 2 (S2) engaged in child abuse of a child in Toddler Classroom #5. Deputy Cooper toured Toddler Classroom #5 and reported no concerns regarding the classroom environment or the children present during the visit.

Continued Page 2.

Nguyen K Tran
Vivian Trinh
DATE: 08/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2026
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 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: DANA POINT MONTESSORI
FACILITY NUMBER: 304371731
VISIT DATE: 08/11/2026
NARRATIVE
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page 2.
On 6/23/2026, Licensing Program Analyst (LPA) Trinh conducted a visit at the facility, interviewed staff, and obtained pertinent documents for review. The report for the inspection conducted on 06/23/2026 was originally entered under facility number 304371710.

During the investigation, the LPA reviewed the police report, examined camera footage of the incident that occurred on 06/17/2026, and interviewed three (3) staff members. Through video footage, the LPA observed that Staff #2 handled a child in a rough manner. One (1) of the three (3) interviewed staff members confirmed that Staff #2 handled the child in a rough manner.

Based on the LPA’s observations through video footage and interviews, Violation Personal Rights was observed and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 3, Section 101223(a)(3) on the attached LIC 809D.

LPA V. Trinh informed Owner/Licensee Vashi, Megha that this report, dated 8/11/2026, documents one (1) Type A citation, which shall be posted for 30 consecutive days, as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA V. Trinh informed the Owner/Licensee Vashi, Megha to provide a copy of this licensing report dated 08/11/2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given to Owner Vashi, Megha, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted, and the report was reviewed with the Owner Vashi, Megha. Appeal Rights were explained. The Owner Vashi, Megha was provided a copy of the appeal rights, and their signature on this form acknowledges receipt of these rights.

End of report.

NAME OF LICENSING PROGRAM MANAGER: Nguyen K Tran
NAME OF LICENSING PROGRAM ANALYST: Vivian Trinh
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/11/2026 11:40 AM - It Cannot Be Edited


Created By: Vivian Trinh On 08/11/2026 at 10:55 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: DANA POINT MONTESSORI

FACILITY NUMBER: 304371731

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/11/2026
Section Cited
CCR
101223(a)(3)

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101223(a)(3) Personal Rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature... This requirement was not met as evidenced by:
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Owner/Director will hold a staff meeting to train staff on supervision concerns and children's personal rights. Director will provide LPA with the staff sign-in sheet by the due 8/21/2026.
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Based on LPA’s observations through video footage and interviews, S2 was observed handling C1 in a rough manner during an incident on 06/17/2026, which poses an immediate health, safety, or personal rights risk to persons in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Nguyen K Tran
NAME OF LICENSING PROGRAM MANAGER:
Vivian Trinh
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/11/2026


LIC809 (FAS) - (06/04)
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