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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700725
Report Date: 02/08/2023
Date Signed: 02/08/2023 03:39:43 PM


Document Has Been Signed on 02/08/2023 03:39 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:CASA MONTESSORI DE CARLSBADFACILITY NUMBER:
376700725
ADMINISTRATOR:SHANNON BINGHAMFACILITY TYPE:
850
ADDRESS:3470 MADISON STREETTELEPHONE:
(760) 729-4455
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:49CENSUS: 33DATE:
02/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Marily MirandaTIME COMPLETED:
03:55 PM
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On 02/08/23 at 12:30pm, Licensing Program Analyst (LPA) Samantha Clenista visited the facility to conduct an annual inspection. Upon arrival LPA met with Assigned Director, Marily Miranda. LPA proceeded to tour the facility per facility sketch. During today's inspection, there were 33 children with a total of 7 staff members in a total of 3 classrooms. Appropriate ratios and capacity were observed. Appropriate care & visual supervision were also observed during the inspection.

Furniture and age appropriate equipment is available indoors and in good condition. Rooms have adequate heating, lighting and ventilation. Floors appear to be clean and safe. Drinking water is readily accessible indoors and outdoors. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Food prep area was observed to be clean and free of rodents/vermin. Facility requires the child's parent/guardian to bring their own snacks and lunches. Cleaning supplies are kept separate from food and are inaccessible to children. Storage containers for solid waste have tight-fitting covers and are kept in good repair. There are no hazardous items accessible to children. Director stated there are no firearms or other weapons on the premises. There is an operational carbon monoxide detector at the facility.

There are a total of two outdoor play areas. The main outdoor play area is located in the back of the facility which has sufficient shade (trees/canopies), appropriate cushioning (sand) under play structures and free of hazardous items. Area has a big play structure that is located in the middle of the outdoor play area, which has no age verification on it. LPA took pictures of the play structure and will consult with management on age verification. The second outdoor play area is located in the front of the center dedicated for the toddlers. Area was observed to be fully fenced and had safe and age appropriate play equipment. There were no bodies of water present during inspection.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023
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: CASA MONTESSORI DE CARLSBAD
FACILITY NUMBER: 376700725
VISIT DATE: 02/08/2023
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LPA reviewed medication storage. Personnel records contain documentation of education and at least one staff member has current CPR and First Aid certifications. Children’s records were reviewed today. All required forms were on file. All children present were signed in. Staff records reviewed today all had a health screening as required by the regulation. Staff have completed the mandated reporter training per AB1207, which shall be renewed every two years. All staff meet immunization records per SB792 and provided proof during inspection.

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://www.ada.gov/childqanda.htm

Director was reminded that all adults 18 and over, 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

See 9102 for Technical Violation for the facility not documenting 15 minute sleep checks for children ages 18-24 months. Exit interview was conducted and licensing report was reviewed with the Director. A copy of this licensing report and notice of site visit were provided at conclusion of visit. Notice of site visit is to be posted and must 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: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023
LIC809 (FAS) - (06/04)
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