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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600925
Report Date: 11/03/2022
Date Signed: 11/03/2022 05:09:53 PM


Document Has Been Signed on 11/03/2022 05:09 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:MONTESSORI SCHOOL OF ENCINITAS - INFANTFACILITY NUMBER:
376600925
ADMINISTRATOR:CHATURIKA UDUGAMAFACILITY TYPE:
830
ADDRESS:141 S. EL CAMINO REAL, SUITE ETELEPHONE:
(760) 632-5433
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:26CENSUS: 10DATE:
11/03/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Director Chaturika UdugamaTIME COMPLETED:
05:15 PM
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On 11/3/2022 @ 4:30 p.m., Licensing Program Analyst (LPA) Joelle Redding, made an unannounced visit to inspect the facility for a requested room addition and increase in capacity for an additional 12 infants.

Fire clearance was received on 11/1/2022. LPA inspected and measured the new infant room. There is a nap area surrounded by a half wall, separate from the play area. There are 8 cribs and 4 cots with sufficient space to allow staff to move between the cribs and be present in the area.

The main indoor activity space measured 439.64 sq. ft. sufficient for 12 infants as requested. There is a regulation changing table within arms reach of a sink and an separate food prep sink in the back area, gated off. The room was equipped with age appropriate furnishings and toys. No hazards were noted.

The infant playground measured 900.95 sq. ft., sufficient for 12 infants. The facility will need to request a waiver to allow groups of no more than 12 infants on the playground at any given time. Upon approval of the waiver, the request for increase in capacity and room addition will be approved and an updated license sent for posting.
SUPERVISOR'S NAME: Renesha AskewTELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle ReddingTELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2022
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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