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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300576
Report Date: 05/14/2024
Date Signed: 05/14/2024 12:51:12 PM

Document Has Been Signed on 05/14/2024 12:51 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BRIGHT MINDS MONTESSORI,INC.FACILITY NUMBER:
336300576
ADMINISTRATOR/
DIRECTOR:		LESLIE MARQUEZFACILITY TYPE:
840
ADDRESS:17159 GRAND AVENUETELEPHONE:
(951) 378-4103
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
05/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:56 AM
MET WITH:Leslie Marquez TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On May 14, 2024, at 11:56 AM, Licensing Program Analysts (LPA's ) Anastasia Flores and Courtnee Peebles, met with Licensee, Nam-Desilva, and Director, Leslie Marquez, to discuss an unusual incident report (UIR) that was reported to Community Care Licensing office on May 2, 2024. Our agency was made aware of an incident that occurred on 4/26/24 where a child #1 (C1) swallowed some sand from the playground and licensee was informed that C1 was in the hospital due to lead in the sand at the facility. The facility provided records from department of health and lead poison prevention team dated 05/06/24, stating the preliminary sand collected did not detect any lead from the sand.

As of this date, 5/14/24, the facility has no deficiencies in relation to this UIR.

An exit interview was conducted, and a copy of this report was provided to Director, Leslie Marquez..

A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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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