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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700282
Report Date: 06/01/2023
Date Signed: 06/01/2023 04:38:19 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
05/23/2023 and conducted by Evaluator Keturah Lane
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20230523151719

FACILITY NAME:MONTESSORI SCHOOL OF KEARNY MESAFACILITY NUMBER:
376700282
ADMINISTRATOR:AMITHA PERUSINGHEFACILITY TYPE:
850
ADDRESS:3411 SANDROCK ROADTELEPHONE:
(858) 505-0332
CITY:SAN DIEGOSTATE: CAZIP CODE:
92123
CAPACITY:57CENSUS: 48DATE:
06/01/2023
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Amitha PerusingheTIME COMPLETED:
04:55 PM
ALLEGATION(S):
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Facility is in disrepair
INVESTIGATION FINDINGS:
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On 6/1/23 at 2:25 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced initial 10-day visit, for the complaint received on 5/23/23 regarding the above allegations. Upon arrival, LPA met with Director Amitha Perusinghe and toured the facility. Observed present today were xx preschool children in the following rooms:

• Room #2 with 8 children and staff member Shantal Sanchez
• Room #3 with 19 children and staff members Maria Morales and Maribel Cruz
• Room #4 with 21 children and staff members Anacare Sandoval and Estefani Garnica

All staff present at the facility today have received criminal record and child abuse clearances or exemptions. (continued on LIC9099-C...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20230523151719
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: MONTESSORI SCHOOL OF KEARNY MESA
FACILITY NUMBER: 376700282
VISIT DATE: 06/01/2023
NARRATIVE
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During this visit LPA conducted interviews with staff members and requested a copy of the children’s roster (LIC9040) and personnel report and LIC500. Director stated she would send them via e-mail on Monday 6/5/23. Based upon interviews with staff members and Director it was determined that the front gate was not working properly but was repaired over the Memorial Day holiday weekend. Gate is now functioning properly with lock codes. The allegation is valid because the preponderance of evidence has been met, therefore the above allegation is found to be SUBSTANTIATED.

See LIC9099-D for Type B deficiency cited. LPA provided clearance letter to Director since gate/lock has been repaired.

Exit interview conducted and report was reviewed with facility representative Director Amitha Perusinghe. Notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20230523151719
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: MONTESSORI SCHOOL OF KEARNY MESA
FACILITY NUMBER: 376700282
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/01/2023
Section Cited
CCR
101238(a)
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101238 Buildings and Grounds (a) The child care center shall be...in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by...
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Director and Staff stated that the gate was fixed by the handyman over the holiday weekend. LPA observed upon arrival that the gate was functioning properly and lock code was also working. LPA provided clearance letter at time of inspection.
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Based upon staff and Director interviews, the front gate was not working properly which is a potential health, safety and personal rights risk to 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: Monica Cuddy
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4