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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213001370
Report Date: 10/23/2024
Date Signed: 10/23/2024 12:21:12 PM

Document Has Been Signed on 10/23/2024 12:21 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 BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MONTESSORI DE TERRA LINDAFACILITY NUMBER:
213001370
ADMINISTRATOR/
DIRECTOR:		ABRAMSON, LAURINFACILITY TYPE:
850
ADDRESS:610 DEL GANADOTELEPHONE:
(415) 479-7373
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: 90TOTAL ENROLLED CHILDREN: 82CENSUS: 79DATE:
10/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:22 AM
MET WITH:Mae RodriguezTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 10/23/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced case management visit and met with the Director of Operations (S1), Mae Rodriguez. The visit was to follow up on an incident that occurred on 10/1/2024. LPA explained the purpose of the visit to S1.

79 pre-k children and 15 staff members were present during the visit.

During the visit, S1 informed the LPA that the child who was injured in the outdoor area with a rock had returned to the facility a couple of days later after the parent brought the child to the doctor's office. S! stated that the staff attended to the injured child, and the parent was notified immediately after the incident. LPA determined that the incident did not warrant a deficiency as it seemed to be an accident.

The department will close out the incident as of 10/23/2024.

A Notice of Site Visit was given and must remain posted for 30 days.

Today’s report was reviewed with the Director of Operations, Mae Rodriguez.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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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