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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372002147
Report Date: 06/07/2019
Date Signed: 06/07/2019 09:23:52 AM

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:MONTESSORI SCHOOL HOUSEFACILITY NUMBER:
372002147
ADMINISTRATOR:STONEMAN, DENAFACILITY TYPE:
850
ADDRESS:4544 POCAHONTAS AVENUETELEPHONE:
(858) 270-9350
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:77CENSUS: 36DATE:
06/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Dena Stoneman, DirectorTIME COMPLETED:
09:40 AM
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Licensing Program Analyst (LPA) Michelle Hood made an unannounced annual/random inspection. LPA toured the facility with Director.

The following was observed:

Room #4:
  • there were 15 children with 4 qualified teachers present.
Room #5
  • there were 9 children with 2 qualified teachers present.
Room #6:
  • there were 12 children with 2 qualified teachers present.

There are no bodies of water, firearms or other weapons stored on the premises. During this inspection, children were under visual supervision at all times. All disinfectants, cleaning solutions, poisons and other dangerous items were inaccessible to children. Classrooms are clean, orderly, free of hazards and was a comfortable temperature during this inspection. The floors, hand washing areas and bathrooms were clean and safe. The facility provides am and pm snack. All food was stored properly in covered containers and items requiring refrigeration were stored at the correct temperatures. The kitchen, food prep, and storage areas were clean and sanitary. Clean drinking water is available indoors and out. Any storage bins or trash cans containing solid waste have tight fitting lids and are in good repair. There is an operational carbon monoxide detector on the premises. The playground equipment is age appropriate and in good repair. The surface space provides sufficient cushioning and is in a safe condition. There are several staff present with current pediatric First Aid/CPR certification. LPA reviewed children's files for admissions agreements. Staff qualifications were verified. Sign in/out sheets were reviewed. LPA discussed sign in/out, playground safety, fire safety, and Incidental Medical Services.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
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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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: MONTESSORI SCHOOL HOUSE
FACILITY NUMBER: 372002147
VISIT DATE: 06/07/2019
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Facility does provide IMS at this time. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies are cited.

LPA observed licensee post form LIC 9213. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS

Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ To register for Quarterly Update Distribution list, email Childcareadvocatesprogram@dss.ca.gov Child Care Center duty line available Monday – Friday from 8 a.m. to 5 p.m. at 619-767-2248.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (559) 243-4588
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
LIC809 (FAS) - (06/04)
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