376105108-11-22-2022-51-CC-ALMA-CLETRP-20221122135748

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376105108
Report Date: 11/22/2022
Date Signed: 11/22/2022 01:58:24 PM

Document Has Been Signed on 11/22/2022 01:58 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:	TIMBERTOY BILINGUAL MONTESSORI LLC		FACILITY NUMBER:	376105108
ADMINISTRATOR:	SAYRA GODINEZ		FACILITY TYPE:	850
ADDRESS:	6736 LINDA VISTA RD		TELEPHONE:	(619) 864-3880
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92111
CAPACITY:	43	CENSUS: 0	DATE:	11/22/2022
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Sayra Godinez		TIME COMPLETED:	01:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/22/22 at 1:00 PM Licensing Program Manager (LPM), Renesha Askew and Licensing Program Analyst (LPA) Adrian Mangina conducted a virtual office meeting with Licensee, Sayra Godinez via video conferencing (MS Teams). The purpose of this meeting is to discuss Licensee’s recent citation history. On 10/17/22 Licensee received a complaint in her previous Family Child Care Home #376626769, involving two allegations:1) that Licensee used highchair as a restraint device for child in care which was substantiated, and licensee was cited a Type A violation under Section 102423 Personal Rights: for restraining a child in a high chair on 10/17/22, and 2) that Licensee forced day care children to stay outside without supervision, which was found to be unsubstantiated. As Licensee now operates a Child care Center, the following Regulations were reviewed and copy of each listed were provided to Licensee electronically: Section 101223 Personal Rights, Section 101229: Responsibility for Providing Care and Supervision. Technical Service Program (TSP) referral was submitted today, November 22, 2022, on Licensee’s behalf to provide Licensee assistance with the aforementioned. TSP brochure provided. Licensee states that she has enrolled in a challenging behavior course and has developed a behavior plan for future use. Licensee was also provided with the CDSS Child Care Licensing (CCL) Child Care Center Operators Resource link with instructional videos: https://ccld.childcarevideos.org/child-care-center-operators/It is recommended for Licensee to review the videos including, but not limited to: Children’s Personal Rights in Childcare and Supervising Children in Child Care Centers. Licensee states she understands that she needs to abide by Health and Safety Code and Title 22 Regulations in the operation of her Child Care Center. Licensee was also provided with Provider Information Notice (PIN) 21-01-CCLD regarding Guardian. (continued on LIC809 page 2)

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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: TIMBERTOY BILINGUAL MONTESSORI LLC	FACILITY NUMBER: 376105108
	VISIT DATE: 11/22/2022

NARRATIVE

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(LIC809 809 page 2)

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates and regulation. Fall 2022 Quarterly Update provided. Licensee states she is signed up to receive the PIN's. During meeting licensee was provided the Duty Line: 619-767-2248.

A copy of this report, appeal rights, and above stated document(s) were emailed to the Licensee at the conclusion of this meeting. The Licensee will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Adrian L Mangina	TELEPHONE: (619) 629-6197
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC809 (FAS) - (06/04)

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