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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 130806397
Report Date: 11/28/2023
Date Signed: 11/28/2023 12:44:56 PM


Document Has Been Signed on 11/28/2023 12:44 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:SMALL WORLD MONTESSORIFACILITY NUMBER:
130806397
ADMINISTRATOR:CLAUDIA GALLEGOFACILITY TYPE:
850
ADDRESS:2450 PORTICO BOULEVARDTELEPHONE:
(760) 357-8701
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY:71CENSUS: 18DATE:
11/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Claudia GallegoTIME COMPLETED:
01:00 PM
NARRATIVE
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On November 28, 2023 at 12:15 PM Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced visit to deliver complaint findings and also for a case management deficiency inspection. Upon arrival, LPA met with Licensee, Claudia Gallego and disclosed purpose of the inspection. During the inspection there were 18 children in care and 2 staff members.

At or about 11:40 am, LPA was present at the facility to deliver findings for a complaint and LPA observed 3 panels in classroom P2 that appear to be falling out, one of them is taped up. Also LPA observed a slide play structure on the playground that is broken and can be a safety hazard to children in care, see LIC809D for Type B deficiency cited. A Civil Penalty was assessed in the amount of $250, see LIC421FC due to a repeat violation cited on 3/7/23.

Exit interview conducted with Director, Claudia Gallego.  A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2023
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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Document Has Been Signed on 11/28/2023 12:44 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108


FACILITY NAME: SMALL WORLD MONTESSORI
FACILITY NUMBER: 130806397

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/01/2023
Section Cited
CCR
101239(o)(1)

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101239(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
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Director states she will remove the slide structure today 11/28/23 and will send the department a picture of the item removed by 11/28/23. Director states she will send the department a copy of the work order to replace the ceiling panels by 12/8/23.
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Based on observation and interview, the licensee did not comply with the section cited above as facility had a broken slide structure that had the top part broken and some pointed parts, and also classroom P2 had 3 ceiling panels that are falling, which poses a potential 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.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:
DATE: 11/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/28/2023
LIC809 (FAS) - (06/04)
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