376700138-8-14-2023-51-CC-SVEO-CUPVNB-20230814163451

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700138
Report Date: 08/14/2023
Date Signed: 08/14/2023 04:35:13 PM

Document Has Been Signed on 08/14/2023 04:35 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	CARMEL VALLEY MONTESSORI SCHOOL		FACILITY NUMBER:	376700138
ADMINISTRATOR:	HOLLY ROSA		FACILITY TYPE:	850
ADDRESS:	3800A MYKONOS LANE		TELEPHONE:	(858) 720-2181
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92130
CAPACITY:	75	CENSUS: 0	DATE:	08/14/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Director, Holly Rosa		TIME COMPLETED:	04:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 8/14/23 at 1:45pm, Licensing Program Analysts (LPAs) Saraliz Velando and Selina Siao conducted an announced Case Management inspection to address facility’s request to inspect a previously licensed area and increase of capacity. Upon arrival, LPAs met with Center Director, Holly Rosa. Also present were a total of 3 other staff members. There were no children present. Facility is requesting to be licensed to care for children (ages 2-K) in the following rooms: Primary 1, Primary 2, Pre-K 1, and Pre-K 2. Fire clearance was granted on 8/14/2023 for a total capacity of 94 children. There were no “Special Conditions” issued. Room Primary 1 measured at 623.24 sq. ft. Room Primary 2 measured at 623.24 sq. ft. Room Pre-K 1 measured at 1359.3 sq. ft. Room Pre-K 2 measured at 1315.73 sq. ft. The total indoor square footage for all four classrooms measured at 3,917.3 sq. ft., sufficient to accommodate a total of 94 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 8 toilets (sufficient for 94 children) and 13 sinks (sufficient for 94 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. The facility also has bathroom waiver that allows them to use the girl’s bathroom located in the Boys and Girls Club. The staff bathroom has 2 toilets and 2 sinks and will be used by children that 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 Primary Room 2 above the baby changing table. Facility has sufficient snacks available for the children and requires the parent to provide their child’s daily lunch meals. Sign-in/drop off will take place outside the entrance area located next to the director’s office via Brightwheel and sign in/out sheets.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2230
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CARMEL VALLEY MONTESSORI SCHOOL	FACILITY NUMBER: 376700138
	VISIT DATE: 08/14/2023

NARRATIVE

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The facility has an outdoor play area per facility sketch that was inspected and measured. This play area was previously measured as 3582 sq. ft. The facility has a waiver for playground usage. When LPAs inspected the outdoor play area, LPAs observed a part of the building that provides shade. Play area has tricycles and mini play structures that appear to be age appropriate and in good condition. Play area was observed completely fenced via chain link fencing and an iron/brick wall. 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.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Exit interview was conducted with Director, Holly Rosa. Facility was observed to be following Title 22 regulations. A license for an increase in capacity for 94 children in the following Rooms: Primary 1, Primary 2, Pre-K 1, and Pre-K 2. 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: Renesha Askew	TELEPHONE: (619) 767-2230
LICENSING EVALUATOR NAME: Saraliz Velando	TELEPHONE: 619-767-2221
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023

LIC809 (FAS) - (06/04)

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