376600925-1-15-2024-51-CC-TDAL-D3LVRZ-20240322164042

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600925
Report Date: 01/12/2024
Date Signed: 01/15/2024 07:28:30 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/04/2024 and conducted by Evaluator Patrick Ma

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20240104092852

FACILITY NAME:	MONTESSORI SCHOOL OF ENCINITAS - INFANT		FACILITY NUMBER:	376600925
ADMINISTRATOR:	CHATURIKA UDUGAMA		FACILITY TYPE:	830
ADDRESS:	141 S. EL CAMINO REAL, SUITE E		TELEPHONE:	(760) 632-5433
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY:	38	CENSUS: 33	DATE:	01/12/2024
		UNANNOUNCED	TIME BEGAN:	11:50 AM
MET WITH:	Chaturika Udugama		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility staff do not ensure equipment is in safe and working order.

INVESTIGATION FINDINGS:

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On 1/12/24 LPA Patrick Ma made an unannounced visit to initiate an investigation and deliver findings, for the complaint received on 1/4/24, regarding the above allegation. LPA met with Director, Chaturika Udugama. Also present in the facility were 33 daycare children and 4 staff in 3 rooms. Children were napping at time of the tour. LPA toured the facility, conducted interviews of staff and made a confidential names list.

Based on the information obtained during interviews and observations it is determined that that 8 out of 16 cribs had light rust building around the joins. However, 4 out 4 double strollers reviewed all had operational seat belts and 2 of the 4 strollers were a bit worn down but operational and no hazards were apparent. LPA advised Director, maintenance or replacement may be required soon for the 2 worn down stollers. 7 out of 7 high chairs inspected were in good condition, children are buckled when in use according to manufacturer recommendations per staff interviews.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick Ma	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 5

Control Number 51-CC-20240104092852

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 OF ENCINITAS - INFANT	FACILITY NUMBER: 376600925
	VISIT DATE: 01/12/2024

NARRATIVE

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The allegation is valid because the preponderance of the evidence has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1) the deficiency is being cited on the attached LIC 9099D.

Exit interview conducted and report was reviewed with the Director Chaturika Udugama. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick Ma	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 51-CC-20240104092852

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 OF ENCINITAS - INFANT	FACILITY NUMBER: 376600925
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/12/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/12/2024 Section Cited CCR 101439(g)	1 2 3 4 5 6 7	Furniture shall be maintained in good repair and safe condition.	1 2 3 4 5 6 7	Director stated she will removed the rust on the cribs or replace them with cribs that don't rust and provided proof to the Department that the correction has been made by POC date.
	8 9 10 11 12 13 14	Based on the information obtained during interviews and observations it is determined that that 8 out of 16 cribs had light rust building around the joins which poses/posed a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick Ma	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

LIC9099 (FAS) - (06/04)

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