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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700256
Report Date: 11/10/2022
Date Signed: 11/13/2022 07:50:22 PM


Document Has Been Signed on 11/13/2022 07:50 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 EAST COUNTY PRESCHOOL - INFANTFACILITY NUMBER:
376700256
ADMINISTRATOR:ANDREA LAUBFACILITY TYPE:
830
ADDRESS:9836 MAINE AVENUETELEPHONE:
(619) 561-0902
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:14CENSUS: 10DATE:
11/10/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Director, Andrea LaubTIME COMPLETED:
12:15 PM
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On 11/10/22 at 11:31am, LPA Lott made an unannounced Case Management inspection, for reported Lead Exceedance. LPA met with Director, Andrea Laub. Also present in the facility were (10) daycare children and (3) teachers/staff. Facility was within ratio & capacity. LPA interviewed staff and examined the faucets deemed an Action Level Exceedance. Facility provided facility sketch and required forms (LIC 9275/9276) to Department on 06/25/2022.

Faucets and drinking fountains reported with 6.3 ppb or greater lead exceedance levels were as follows:

Changing Room - cold side 6.3 ppb

The faucet in the changing room is not used for drinking or food preparation but for hand washing only. The sink is clearly marked with a sign which states for hand washing only.

Exit interview conducted and report was reviewed with Director Laub. Director states they have a copy of PIN 21-21-CCP. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2022
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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