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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105015
Report Date: 10/11/2022
Date Signed: 10/11/2022 02:25:21 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/10/2022 and conducted by Evaluator Grace Curtis
COMPLAINT CONTROL NUMBER: 51-CC-20220810112927
FACILITY NAME:INTELLICHILDREN MONTESSORI INSTITUTEFACILITY NUMBER:
376105015
ADMINISTRATOR:BRANDY PEARCEFACILITY TYPE:
830
ADDRESS:212 WEST SAN MARCOS BOULEVARDTELEPHONE:
(760) 471-0221
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:20CENSUS: 4DATE:
10/11/2022
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Brandy PearceTIME COMPLETED:
01:44 PM
ALLEGATION(S):
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Staff force feeds infant in care.
INVESTIGATION FINDINGS:
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On October 11, 2022 at 1:16 p.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced inspection to deliver the findings on the complaint allegation referenced above. Upon arrival LPA met with Director Brandy Pearce and proceeded to tour the facility. There were 4 children present with 2 staff members. Appropriate ratio was observed. Staff members have the required background clearances and are associated to the facility.

The initial complaint investigation was conducted by LPA Curtis on 8/15/22. Throughout the course of investigation, interviews were conducted with several employees and several parents. Facility records were obtained and reviewed. The information gathered indicates that a staff member (S1) was observed forcing/coercing an infant to eat.

Based on interviews conducted by LPA and record reviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, California Code of Regulations, Title 22, 101223(a)(3) is being cited on the attached LIC 9099D.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 51-CC-20220810112927
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: INTELLICHILDREN MONTESSORI INSTITUTE
FACILITY NUMBER: 376105015
VISIT DATE: 10/11/2022
NARRATIVE
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This is an amended report.

LPA Curtis informed Licensee Janet Andrade that this report dated 10/11/22 document(s) one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Curtis informed Licensee Andrade to provide a copy of this licensing report dated 10/11/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Licensee Andrade and Appeal Rights (LIC 9058) were discussed. The licensee's signature on this form acknowledges receipt of these rights. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.


SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20220810112927
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: INTELLICHILDREN MONTESSORI INSTITUTE
FACILITY NUMBER: 376105015
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2022
Section Cited
CCR
101223(a)(3)
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This is an amended report. 101223 Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...This requirement was not met as evidenced by:
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The director states that she will conduct a staff meeting to discuss children's personal rights. The director will send LPA a copy of the meeting agenda and staff sign in sheet via email by 10/25/22.
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Based on interviews conducted by LPA, a staff member (S1) was observed forcing/coercing an infant to eat. This poses a potential health and safety risk to the 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.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3