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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700980
Report Date: 06/10/2024
Date Signed: 06/10/2024 02:55:34 PM


Document Has Been Signed on 06/10/2024 02:55 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:MONTESSORI LEARNING ACADEMY INC.FACILITY NUMBER:
376700980
ADMINISTRATOR:ANALILIA LOPEZFACILITY TYPE:
850
ADDRESS:1179 IMPERIAL BEACH BOULEVARDTELEPHONE:
(619) 495-3285
CITY:IMPERIAL BEACHSTATE: CAZIP CODE:
91932
CAPACITY:62CENSUS: 40DATE:
06/10/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director Analilia LopezTIME COMPLETED:
03:00 PM
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On 06/10/2024 at 10:00AM, Licensing Program Analyst (LPA) Luigi Gargaro conducted an unannounced annual inspection. Upon arrival, LPA met with Director Analilia Lopez and proceeded to tour the facility together. The following ratios were observed: Classroom 1 had ten children under the supervision of teacher Ana Palos and aide Briana Flores Falcon, Classroom 2 had eighteen children under the supervision of teacher Felicia Mattei Flores and teacher aide Yannin Ibarra Vazquez and Classroom 3 had twelve children under the supervision of teacher Edna Sanchez Robles. Facility was within staffing ratio during LPA's tour. All staff members have the required background clearances and are associated to the facility

All required notices, forms and license(s) were posted. Furniture and age appropriate equipment is in good condition. Rooms have adequate heating, lighting, ventilation and drinking water. Storage cubbies are readily available, and rooms accommodate class size. Napping equipment consists of cots which are kept in the classrooms and each cot has its own sheet or covering. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Facility provides the children’s snacks and meals that are stored and prepared in the facility kitchen. Children also may bring meals from home which are appropriately dated and labeled. A meal menu is posted. Adequate food is available for meals and snacks.

Outdoor play areas are front and back yards that have turf for cushioning. The front yard has tree shade while the back yard has two overhead shaded areas. Equipment is age appropriate for preschool children. Children have drinking water provided in their own individual water bottles they bring from home and can be refilled at the facility. Grounds are free of debris or potential hazards. LPA reviewed sign in sheets and medication policy and storage. Isolation area is the Director's office. Personnel and client records were reviewed and staff members have completed the online mandated child abuse training.

All personnel have required criminal record and child abuse index clearances or exemptions. LPA reviewed Emergency Disaster Plan and last fire drill was conducted 05/05/24. Facility does have an operating carbon monoxide detector located in the facility. Facility has at least one staff member that has a valid EMSA approved CPR/FA certificate when children are in care.

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2024
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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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: MONTESSORI LEARNING ACADEMY INC.
FACILITY NUMBER: 376700980
VISIT DATE: 06/10/2024
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This facility provides Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee representative was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care.

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe. LPA discussed California Megan's Law with provider and advised her to go on the website at www.meganslaw.ca.gov.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

All unusual incident reports shall be submitted to Licensing office via email at SDIncidentReports@dss.ca.gov or via fax at (619)767-2203.

Three type B violations were cited on the attached LIC 809D page. All were corrected during today's visit.

A notice of site visit was provided and to be posted at the facility for 30 days. Failure to keep notice posted will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 06/10/2024 02:55 PM - It Cannot Be Edited

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: MONTESSORI LEARNING ACADEMY INC.
FACILITY NUMBER: 376700980

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as staff member #4 did not have any proof of required immunizations in her personnel file which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 06/10/2024
Plan of Correction
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Prior to analyst completing visit, staff member accessed her medical records and provided proof of all required medical records for review to complete the correction.
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on analyst record review, the licensee did not comply with the section cited above as staff member #4 did not have any proof of a completed health screening within the past year in her personnel file which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 06/10/2024
Plan of Correction
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Prior to analyst completing visit, staff member accessed her medical records and provided proof of a health screening conducted within one year of employment by her medical provider for review to complete the correction.
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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5


Document Has Been Signed on 06/10/2024 02:55 PM - It Cannot Be Edited

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: MONTESSORI LEARNING ACADEMY INC.
FACILITY NUMBER: 376700980

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)(12)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (12) Tuberculosis test documents as specified in Section 101216(g).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst record review, the licensee did not comply with the section cited above as staff member #4 did not have any proof of a cleared TB test or x-ray result within the past year in her personnel file which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 06/10/2024
Plan of Correction
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Prior to analyst completing visit, staff member accessed her medical records and provided proof of a cleared TB x-ray result for review to complete the correction.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2024
LIC809 (FAS) - (06/04)
Page: 4 of 5