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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372005959
Report Date: 10/25/2024
Date Signed: 11/22/2024 09:44:27 AM

Document Has Been Signed on 11/22/2024 09:44 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:MONTESSORI CHILDREN'S HOUSEFACILITY NUMBER:
372005959
ADMINISTRATOR/
DIRECTOR:		LINDA JORDANFACILITY TYPE:
850
ADDRESS:717 NINTH STREETTELEPHONE:
(760) 789-5363
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 33DATE:
10/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Sara JordanTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 10/25/2024 at 2:00 p.m. Licensing Program Analyst (LPA) Renita Rodriguez conducted an unannounced case management for the purpose of citing a deficiency observed today at 12pm and 1:45pm while conducting the Annual inspection on this same date, but wasn’t documented in error. There were 33 children and 5 staff.

"LPA overheard 2 separate interactions made by S1 and S2 with the children in their care. The interactions involved staff S1 using intimidating loud tone when speaking with children in care. Stating things like “You are frustrating me” and “The three of you are frustrating me”. Staff S2 was also heard using the same type of tone toward children stating “You are not the teacher”. Thereby violating the children’s personal rights.

See LIC 809D for deficiency cited.



Exit interview conducted and report was reviewed with the Assistant Director Sara Jordan. A notice of site visit was given and must remain posted for 30 days. Appeal rights were provided.

THIS IS AN AMENDED REPORT DELIVERED ON 11/22/24.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2024
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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Document Has Been Signed on 11/22/2024 09:45 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/28/2024 08:27 AM


Created By: Renita Rodriguez On 10/25/2024 at 02:45 PM
Link to Parent Document Below:
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: MONTESSORI CHILDREN'S HOUSE
FACILITY NUMBER: 372005959

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2024
Section Cited
CCR
101223(a)(1)

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101223(a)(1)Personal Rights (a) The licensee shall ensure that each child is... (1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement is not met as evidenced by:
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Assistant Director Sara Jordan states individual meetings will be held with S1 and S2 today. Follow up meeting will be held 10/28/24 with Linda Jordan. All staff training will be held on 10/30/24. Personal rights will be reviewed with staff. Montessori training communication
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Based on observation and interview the regulation was violated which posed a potential Personal Rights risks to persons in care.
THIS IS AMENDED DELIVERED ON 11/22/24.
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that is effective. Assistant Director Sara Jordan will send LPA the attendance sheet for all attendees in trainings.

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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:Renesha Askew
LICENSING EVALUATOR NAME:Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024


LIC809 (FAS) - (06/04)
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