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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105015
Report Date: 01/05/2023
Date Signed: 01/05/2023 12:20:30 PM

Document Has Been Signed on 01/05/2023 12:20 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: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: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
01/05/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Brandy PearceTIME COMPLETED:
11:30 AM
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On January 5, 2023 @ 11:15 a.m. Licensing Program Manager (LPM) Tashima Daniel, Licensing Program Analyst (LPA) Leilani Curtis, Licensee Janet Andrade and Director Brandy Pearce met virtually via Zoom for a scheduled office meeting. The purpose of the meeting is to discuss the recent facility citations.

The facility has been cited for the following deficiencies:
10/11/22:
101223(a)(3)- Personal Rights: force feeding infant.
101416.3(b)- Infant Care Aide Qualifications and Duties: aide working without the supervision of a teacher.
101223(a)(1)- Personal Rights: staff member verbally abusing infants.
08/15/22:
101161(a)- Operating outside of limitations of capacity: A two-month old was in care.
07/21/22:
101427(h)- Infant Care Food Service: An infant was seated in a rocker/ bouncer with a bottle propped by a blanket in the nap area
101419.2(b)(2)- Infant Needs and Services Plan: Sleep Plans were not on file with the Needs and Services Plan.
101439.1(f)- Infant Care Center Sleeping Equipment: infants asleep covered with blankets.
06/23/22:
101212(d)(1)(C)- Reporting Requirements: Facility failed to notify CCLD of “lockdown” timely.
08/24/21:
101161(a)- Limitations on Capacity: School age and preschool children were being dropped off and commingled in the infant room in the morning.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2023
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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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: INTELLICHILDREN MONTESSORI INSTITUTE
FACILITY NUMBER: 376105015
VISIT DATE: 01/05/2023
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The citations were discussed and the Technical Support Program (TSP) was offered today. For questions related to TSP, email: Childcaretechnicalsupport@dss.ca.gov. The director advised the department of current procedures and policies they have put into place to ensure the health and safety of the children in care.

Director Pearce and Licensee Andrade agree to operate the facility in full compliance with Title 22 and Health and Safety Code requirements.

The director and licensee were advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates, Provider Information Notices (PIN’s) and Title 22 regulations. LPA will email the director the TSP handout.

A copy of this report and appeal rights were emailed to the director at the conclusion of the meeting. The director will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023
LIC809 (FAS) - (06/04)
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