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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701242
Report Date: 03/15/2022
Date Signed: 03/15/2022 02:13:36 PM


Document Has Been Signed on 03/15/2022 02:13 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:FRENCH MONTESSORI PRESCHOOL OF SAN DIEGO, THEFACILITY NUMBER:
376701242
ADMINISTRATOR:CLAUDIA HUERTAFACILITY TYPE:
850
ADDRESS:4011 OHIO STREETTELEPHONE:
(619) 501-3787
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY:95CENSUS: 53DATE:
03/15/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Emilie Pulido, LicenseeTIME COMPLETED:
02:25 PM
NARRATIVE
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On 03/15/2022 at 2:00 pm, Licensing Program Analysts (LPAs) Michelle Hood and Cindy Meier conducted an unannounced case management inspection for the purpose of citing deficiency discovered during a complaint investigation. LPAs met with Licensee Emilie and informed her of the purpose for the inspection.

On 02/01/2022, during a complaint investigation Licensee and director informed LPAs there have been six Covid positive cases at the facility in 2022. The licensee admitted the cases were not reported to Child Care Licensing (CCLD) and an unusual incident report was not submitted for the 2022 Covid positive cases. Due to the licensee's admittance, the facility is being cited. See the LIC 809-D for Type-B deficiency cited.

The Facility Licensee, Emilie Prulido was provided the appeal rights (LIC9058 01/16) and her signature on this form acknowledges receipt of these rights. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and the report was reviewed with the Facility Licensee, Emilie Prulido.

SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2022
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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Document Has Been Signed on 03/15/2022 02:13 PM - 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108


FACILITY NAME: FRENCH MONTESSORI PRESCHOOL OF SAN DIEGO, THE
FACILITY NUMBER: 376701242

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/15/2022
Section Cited

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101212(d)(1)(C) Reporting Requirements....a report shall be made to the Dept. by telephone or fax within the Dept's next working day…a written report containing the information specified…shall be submitted to the Depart. within seven days following the occurrence of… any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement is not met as evidenced by:
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Licensee admitted she did not contact the Department within 24 hours or submit an Incident Report within 7 days. Based on Licensee's admission, it was determined between January 2022 & February 2022, the facility failed to report Covid positive cases to CCLD. This poses a potential risk to 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: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle HoodTELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2022
LIC809 (FAS) - (06/04)
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