<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700963
Report Date: 09/06/2023
Date Signed: 09/06/2023 03:03:33 PM


Document Has Been Signed on 09/06/2023 03:03 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:VILLAGE MONTESSORI SCHOOLFACILITY NUMBER:
376700963
ADMINISTRATOR:SHELBY ANAYAFACILITY TYPE:
830
ADDRESS:2606 JEFFERSON STREETTELEPHONE:
(760) 637-5113
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY:24CENSUS: 10DATE:
09/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Shelby AnayaTIME COMPLETED:
03:30 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 09/06/23 at 2:01pm, Licensing Program Analyst (LPA) Samantha Clenista conducted an unannounced plan of correction inspection. Purpose of this visit is to address a deficiency which was cited on 07/06/2023 and to obtain updated outdoor play area measurements. Upon arrival, LPA met with Center Director, Shelby Anaya. There were 10 children (5 infant and 5 toddlers) present during time of visit.

On 07/06/23, the facility was cited under Title 22 Section 101438.3(c)(1)- Indoor Activity Space For Infants, due to there being no wall separation or partition of some sort to divide the play area and crib area in the infant room. Since then, facility has placed up a sound absorbing partition that is 4ft. high dividing the play area and crib area, however, the partition is placed without a gate. There is an approximate 2 ft. opening where there is no barrier from of the entrance of the play area to the crib area. Deficiency was observed not fully corrected. Director stated that the Owner, Pam Crisman, has ordered a gate that opens and closes that will be installed no later than 09/11/23. Director stated that a picture of the the gate installed will be sent to LPA. Once LPA receives that correction, the deficiency will be cleared.

LPA also measured the front yard of the building, where Director stated is designated for the infant to play outdoors. This area was previously approved for infants and toddlers to use. Area measured at approximately 1,973.27 sq. ft., which is sufficient for 26 children at one time. Director and Owner have requested that the toddlers share the preschool playground on a scheduled basis due to there being more room to run around. A waiver for the toddlers to share the preschool playground shall be submitted and approved by the department.

No deficiencies observed in the areas inspected during today's inspection. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed Director post notice of site visit. LPA reviewed this report with Director prior to obtaining her signature.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (916) 936-5444
LICENSING EVALUATOR NAME: Samantha ClenistaTELEPHONE: (619) 818-6740
LICENSING EVALUATOR SIGNATURE:
DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/06/2023
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 1