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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700963
Report Date: 02/13/2020
Date Signed: 02/13/2020 11:46:05 AM

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:VILLAGE MONTESSORI SCHOOLFACILITY NUMBER:
376700963
ADMINISTRATOR:PETRA WOODFACILITY TYPE:
830
ADDRESS:2606 JEFFERSON STREETTELEPHONE:
(760) 405-7800
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:24CENSUS: 9DATE:
02/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Pam CrismanTIME COMPLETED:
10:30 AM
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LPA Nancy Diaz conducted an unannounced annual site inspection today. Upon arrival, LPA observed 4 infants in Room #1 with staff Florida Castillo and 4 infants in Room #2 with staff Taylor Noel. At 8:58 AM staff Widad Aziz arrived and proceeded to Room #2. Ms. Aziz removed 2 infants from Room #1 and transitioned them to Room #2 with staff Florida Castillo (total of 6 infants). Staff Taylor Noel took over supervision of children in Room #1 with 2 infants. Staff Evangeline Puno arrived at 10AM to supervise the children in Room #1 with staff Taylor Noel. A tour of all classrooms was conducted with Pam Crisman. All required notices, forms and license were posted in an area visible to the parents or authorized person.
There were no bodies of water observed within the premises. Facility do not maintain weapons. Disinfectants, cleaning solutions and other items that are dangerous to children are inaccessible via storage in latched cabinet in staff restroom. Furniture and playground equipment are kept in good condition, free of sharp, loose or pointed parts. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats; changing tables, and feeding chairs. A baby walker is not allowed on the premises of a child care center in accordance with H & S Code Section 1596.846. The facility has sufficient infant napping equipment that meets the requirements of Section 101439.1(a)-(f). The facility have indoor activity space for infants that is physically separate from space used by preschool and school-age children. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The toddler program is conducted in areas physically separate from those used by older or younger children. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.
Bottles, dishes and containers of food brought by the infant’s authorized representative are labeled with infant’s name and the current date. All toilets and handwashing facilities are safe and working in sanitary conditions. Uncontaminated drinking water is available both indoors and out. Menus are posted at least one week in advance, where an authorized representative can view them. All infants are never left unattended, and under the direct visual supervision of a staff person at all times.
CONTINUED...
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376700963
VISIT DATE: 02/13/2020
NARRATIVE
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Outdoor activity space surface is maintained in a safe condition and free of hazards. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair.

Licensee operates the facility within the conditions, limitations and capacity specified on the license. Staff records contain appropriate documentation of education credits. At least one person trained in CPR and Pediatric First Aid is present. The person who signs the child in/out uses their full legal signature and records the time of day. Facility maintains a separate, complete, and current records for each child in care. Each child’s record contains a medical assessment; feeding plan and infant needs and services plan.

A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances.

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

The following handouts were provided to the Site Director today:

PIN 19-10-CCP (CPSC product recall for Fisher Price Ultra Lite Play Yard


PIN 19-09-CCP (Head Lice Information for Child Care Providers)
PIN 19-08-CCP (CDPH New Pre-K and school immunization requirements
PIN 19-06-CCP (U.S. Consumer Product recall - Infant sleepers)
PIN 19-02-CCP (Safe Sleep Awareness Campaign)
PIN 20-01-CCP (Lead Testing for drinking water)
PIN 19-18.1-CCP (Emergency and Disaster information)
PIN 19-16-CCP (CPSC regarding inclined infant sleep devices)
PIN 19-12-CCP (CPSC Infant sleeper recall)

CONTINUED...
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376700963
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2020
Section Cited

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H & S Section 1596.7995. Effective September 1, 2016, a person may not be employed or volunteer at a child care center unless he or she has been immunized against influenza, pertussis, and measles.



This regulation was not met as evidenced by:
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LPA's review of staff files revealed that licensee did not obtain the required immunization requirements (influenza, pertussis & measles) for Florida Castillo and Pam Crisman. This poses a potential risk to the health, safety or personal rights of children in care.
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Type B
02/13/2020
Section Cited

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There shall be a ratio of one teacher for every four infants in attendance.






This regulation requirement was not met as evidenced by:
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Upon arrival, LPA observed 4 infants in room #1 with staff Florida Castillo (aide) and 4 infants in room #2 with staff Taylor Noel (aide). Licensee did not have qualified teachers in both rooms. This poses a potential risk to the health, safety or personal rights of children in care
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376700963
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2020
Section Cited

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H & S Section 1596.8662 create requirements for mandated child abuse reporter training. Applicants, licensees, and facility employee may meet this requirement free of cost by accessing the online training module provided on the Department of Social Services, Mandated Reporter Training Website: www.mandatedreporterca.com (effective 1/1/2018).
This requirement was not met as evidenced by:

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LPA reviewed all staff files and determined that the licensee did not obtain proof of Mandated Reporter course completion for Florida Castillo & Pam Crisman. This poses a potential risk to the health, safety or personal rights of children in care.
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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: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4