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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700138
Report Date: 06/07/2023
Date Signed: 06/07/2023 11:33:30 AM


Document Has Been Signed on 06/07/2023 11:33 AM - 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:CARMEL VALLEY MONTESSORI SCHOOLFACILITY NUMBER:
376700138
ADMINISTRATOR:HOLLY ROSAFACILITY TYPE:
850
ADDRESS:3800A MYKONOS LANETELEPHONE:
(858) 720-2181
CITY:SAN DIEGOSTATE: CAZIP CODE:
92130
CAPACITY:94CENSUS: 0DATE:
06/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Holly RosaTIME COMPLETED:
11:50 AM
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On 06/07/23 at 9:30am, Licensing Program Analysts (LPAs) Samantha Clenista and Saraliz Velando conducted an announced Case Management – Licensee Initiated inspection to address facility’s request to change rooms due to their current rooms undergoing construction. Upon arrival, LPAs met with Center Director, Holly Rosa. Also present were a total of 8 other staff members. There were no children present. Facility is requesting to change rooms and be licensed to care for children (ages 2-K) in the following rooms: 801, 802, 907 and 908. Fire clearance was issued on 06/01/23 for a total capacity of 94 children. Special conditions that were stated on the fire clearance is as followed, “Fire clearance granted for temporary use in Summer 2023, while work being done on classrooms. Room 801 cleared for 15, 8 of which are 2-year-old. Room 802 cleared for 15, 9 of which are 2-year-old.”

LPAs inspected and measured all newly requested classrooms and outdoor play area. Room 801 measured at 889.77 sq. ft. (sufficient for 25 children). Room 802 measured at 827.10 sq. ft. (sufficient for 23 children). Room 907 measured at 854.71 sq. ft. (sufficient for 24 children). Room 908 measured at 831.8 sq. ft. (sufficient for 23 children). The total indoor square footage for all four classrooms measured at 3,403.38 sq. ft., sufficient to accommodate a total of 97 children. LPAs observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children.

There are a total of 5 toilets (sufficient for 75 children) and 9 sinks (sufficient for 135 children) available for the preschool children. Children are to be escorted and supervised by staff to and from the bathroom and under direct visual observation. There is a separate restroom used by staff (that consists of 2 toilets and 2 sinks), which will also designated for use by children who are ill. The director’s office will also be designated for use by children who are ill. There is a carbon monoxide detector on site located in Room 801.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023
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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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: CARMEL VALLEY MONTESSORI SCHOOL
FACILITY NUMBER: 376700138
VISIT DATE: 06/07/2023
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There is a kitchen area located in Room 801, which currently includes a staff sink, refrigerator, two microwaves, toaster oven, oven, and dishwasher. Facility requires the parent to provide their child’s daily lunch meals. Facility only provides the children’s snacks. Sign-in/drop off will take place in the entrance area located inside the director’s office/hallway via Brightwheel.

The facility has a temporary outdoor play area per facility sketch that was inspected and measured. This play area measured 10,080 sq. ft., sufficient for a total of 134 children at one time, more than sufficient to accommodate the requested capacity. When LPAs inspected the outdoor play area, LPAs observed canopies and trees used for shade. Play area has tricycles and mini play structures that were age appropriate and in good condition. Play area was observed completely fenced via chain link fencing with mesh cover (higher than 4ft). Drinking water is readily accessible inside and outside the classroom via refillable water jugs and water cups, provided by the facility. Children can bring their own water bottles.

Incidental Medical services (IMS) policy was discussed. 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. LPA and applicant discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Facility Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPAs reviewed the updated LIC311A with the facility representative today and reminded to keep anything that reads, “Keep Out of Reach of Children” inaccessible to children.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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: CARMEL VALLEY MONTESSORI SCHOOL
FACILITY NUMBER: 376700138
VISIT DATE: 06/07/2023
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview was conducted with Facility Representatives. Facility was observed to be in compliance with Title 22 regulation. A license for a total of 75 children (due to limited toilets available for the children) in the following Rooms 801, 802, 907 and 908. Per the fire clearance issued on 06/01/23, Room 801 is cleared for 15 children, 8 of which are 2-year-old and Room 802 cleared for 15 children, 9 of which are 2-year-old. Facility Representatives were advised to adhere to the fire clearance conditions. Facility representative stated their understanding. This report shall be kept available at the facility for public review for 3 years. Notice of Site Visit was provided and shall remain posted for 30 days.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC809 (FAS) - (06/04)
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