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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700963
Report Date: 07/06/2023
Date Signed: 07/14/2023 11:56:02 AM


Document Has Been Signed on 07/14/2023 11:56 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
SAN DIEGO N. CC RO, 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) 637-5113
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:24CENSUS: 6DATE:
07/06/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:31 PM
MET WITH:Pam Crisman & Shelby AnayaTIME COMPLETED:
04:15 PM
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On 07/06/2023 at 2:31pm, Licensing Program Analyst (LPA) Samantha Clenista conducted an annual inspection. Upon arrival, LPA met with Lead Teacher, Yoko Rojas, and proceeded to tour the facility. Pam Crisman, Executive Director/CEO and newly hired Center Director, Shelby Anaya arrived soon after LPA's arrival. LPA observed 2 infants being supervised by Yoko Rojas in Room #1, and 4 toddlers being supervised by Ayla Hernandez and Mariana Ramirez in Room #2. All required notices, forms and license were posted upon entry of the facility.

Rooms have adequate heating, lighting, and ventilation. LPA observed all indoor play space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping mats, bookshelves, and other activity supplies for the children. There is a changing table within arm’s reach of a sink in both Room #1 and the bathroom located in Room #2. The bathroom in Room #2 has an additional 3 sinks and 3 toilets available for children use. LPA reminded Facility Representatives that children are to be escorted and supervised by staff to and from the bathroom and under direct visual observation. There is a refrigerator for children’s use in both classrooms. Facility Representatives were reminded that all infant bottles shall have their name and date on them. There is a separate crib area in Room #1, however LPA observed there to be no fencing or partition dividing the play space and the crib area. Ms. Crisman stated that there was a sliding door at first, but removed it (approximately January 2022). Each infant is to be under direct visual observation and supervision by staff at all times. Sleep checks are conducted and documented every 15 minutes for all infants. Appropriate supervision was in place during this visit. There are napping cots/mats for the older infants who can climb out of a crib. Infant needs and services plan were reviewed and observed to be updated quarterly per regulation.

Personnel and client records were reviewed, and staff members have the required immunization's and completed the online mandated reporter training. Reporting requirements was also reviewed. All personnel have required criminal record and child abuse index clearances or exemptions.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2023
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: VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376700963
VISIT DATE: 07/06/2023
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Cleaning supplies and other hazardous items were kept out of reach of children. Food service is located in Room #2 which consists of a kitchen, free of hazards. Facility Representatives stated there is no firearms/weapons on site. Facility has an operating carbon monoxide detector located in Room #2. No bodies of water were observed during inspection. LPA reviewed the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Outdoor play area for the infants is located in the front yard which is fenced. Toddlers currently use the preschool playground (backyard) due to the facility not operating their preschool program and have not had preschoolers since March 2020. No playground waiver is on file. LPA informed facility that a playground waiver shall be submitted. LPA obtained updated facility sketch. Both infant and preschool playgrounds have trees and canopies used for shade. Age appropriate play equipment was observed in the infant playground. LPA advised Facility Representatives to have all staff maintain direct visual observation of children during outdoor play. Facility Representatives stated their understanding. Isolation area is the Director's office. Isolation restroom is the staff restroom.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

The following items were discussed with Facility Representatives: Facility Representatives was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. Director was provided with information about Heat Related Illness, best practice on supervision, latest car seat poster and effects of lead exposure and reporting responsibilities were discussed.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

Facility Representatives were 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.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376700963
VISIT DATE: 07/06/2023
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. Director stated the facility does not use any of the water faucets for drinking or food preparation. Director stated that the facility uses only water bottles and refillable water jugs for drinking water and that the facility requires the parents/guardians to bring their child(rens) own snacks and food, where no food preparation is required. LPA requested Director to submit an official attestation letter confirming the above.

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.

LPA discussed the safe sleep regulations with Facility Representatives and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Facility Representatives of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

See 809D for cited Type B deficiency. An exit interview was conducted, and appeal rights were reviewed and provided to the Facility Representatives. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 07/14/2023 11:56 AM - It Cannot Be Edited

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: VILLAGE MONTESSORI SCHOOL
FACILITY NUMBER: 376700963

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/06/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101438.3(c)(1)
Indoor Activity Space For Infants
(1) The sleeping area for infants shall be physically separate from the indoor activity space. This separation shall be accomplished as specified in (b) above.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation and interview with Ms. Crisman during inspection, facility did not comply with the section cited above due to there being no wall separation or partition of some sort to divide the play area and crib area, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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Ms. Crisman stated there was a sliding door prior, but was removed after the facility went through a remodel in January 2022. Ms. Crisman stated she will purchase and install a 4ft. or higher partition to separate the play and crib area. LPA reminded Ms. Crisman that the partition shall be made of sound absorbing material. Ms. Crisman stated she will provide LPA proof of installation and completion via pictures no later than 07/28/2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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) 767-2249
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4