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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600521
Report Date: 10/20/2022
Date Signed: 10/20/2022 01:16:55 PM


Document Has Been Signed on 10/20/2022 01:16 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:MONTESSORI SCHOOL OF OCEANSIDE-INFANTFACILITY NUMBER:
376600521
ADMINISTRATOR:BRENDA DODDFACILITY TYPE:
830
ADDRESS:3525 CANNON ROADTELEPHONE:
(760) 941-3883
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:24CENSUS: 23DATE:
10/20/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:38 AM
MET WITH:Brenda DoddTIME COMPLETED:
01:25 PM
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On October 20, 2022 at 11:38 am, Licensing Program Analyst (LPA) Jessica Rubio arrived at the facility to conduct an inspection for an increase in capacity from 24 infants to a requested capacity of 40 infants. LPA met with Director Brenda Dodd. LPA measured the additional indoor infant space (Infant Room #6) as well as the current indoor infant space (Room #1 and #2).

Measurements were taken and the following was determined:

Indoor Activity Areas - Infant Room #1, #2 and #6.
LPA has determined that there is sufficient space to accommodate 40 infants.

Outdoor Activity Area - Infant Playground
LPA has determined that there is sufficient space to accommodate 30 infants. Waiver has been submitted.

Limiting factor for Infant Program capacity is indoor activity area of 40 infants. The Fire Clearance was granted on 9/27/2022. Infant capacity is limited to 40 infants.

An exit interview was conducted, appeal rights were discussed and a copy of this report will be provided to Director Brenda Dodd. A notice of site visit will also be provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 255-4093
LICENSING EVALUATOR NAME: Jessica M RubioTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:
DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2022
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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