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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701396
Report Date: 07/27/2021
Date Signed: 07/27/2021 01:00:34 PM

Document Has Been Signed on 07/27/2021 01:00 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:KINDERHOUSE MONTESSORI SCHOOLFACILITY NUMBER:
376701396
ADMINISTRATOR:ALEXANDRA POPFACILITY TYPE:
850
ADDRESS:6540 FLANDERS DRIVETELEPHONE:
(858) 550-0097
CITY:SAN DIEGOSTATE: CAZIP CODE:
92121
CAPACITY: 120TOTAL ENROLLED CHILDREN: 0CENSUS: 56DATE:
07/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Alexandra PopTIME COMPLETED:
01:20 PM
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On 7/27/2021 @ 9:55AM, LPA Nancy Diaz conducted an unannounced inspection. LPA met with Alexandra Pop, Site Director. Observed present today were 56 children. A tour of the facility was conducted. There are 5 classrooms.
Maple Room (Toddlers) with 7 children and staff Marina Salluce & Fergie Espinas.
Spruce Room (Toddlers) with 8 children and staff Yvette Medina & Tiffany Hernandez.
Cedar Room (3-6 y.o.) with 18 children and staff Samantha Iyer & Rosa Aguayo.
Bamboo Room (3-6 y.o.) with 17 children and staff Meghashree Hotannavara & Abril Macias
Willow Room (School-age) with 6 children and staff Yesim Baykal.
Staff Lacie Guttierez (Substitute) was observed in classrooms giving breaks to staff.

A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The licensee has not exceeded the conditions, limitations and capacity specified on the license. At least one person is trained in CPR and Pediatric First aid was present today (indicate staff or director).

CONTINUED...
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2021
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: KINDERHOUSE MONTESSORI SCHOOL
FACILITY NUMBER: 376701396
VISIT DATE: 07/27/2021
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LPA did not observed bodies of water within the premises. There are no firearms or weapons maintained within the facility. Disinfectants, cleaning solutions and other items that are dangerous to children are inaccessible. Medications are kept in a safe place, inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All toilets, handwashing facilities are in safe and sanitary operating condition. All floors are clean and safe. The child care center was observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors. Facility maintains a carbon monoxide detector that meet the standards established in Chapter 8 of Part 2 of Division 12.

The food-preparation and storage areas are kept clean, free of litter. Food are protected against contamination. All storage containers for solid waste have a tight-fitting covers that are kept on and in good repair. Uncontaminated drinking water is readily available both indoors and out.

Playground equipment was observed to be in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space are maintained in safe condition and free of hazards. The areas around or under high climbing equipment, swings, slides, and similar equipment was cushioned with material that absorbs a fall.

Children were observed to be under the supervision of qualified staff. Facility was observed to be within ratio. An isolation area has been designated for children who becomes ill during the day.

CONTINUED...
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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: KINDERHOUSE MONTESSORI SCHOOL
FACILITY NUMBER: 376701396
VISIT DATE: 07/27/2021
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Incidental Medical Services (IMS) policy was discussed. 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.

LPA provided Ms. Pop a copy of the IMS outline Plan of operation today.

Ms. Pop provided the LPA copies of: LIC 500 (Personnel Report); LIC 610 (Emergency Disaster PLan) and Current Children's Roster.

Notice of site visit was provided today. It was observed posted. Notice shall remain posted for 30 days. Appeal rights was also provided.

NO DEFICIENCY CITED TODAY.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
LIC809 (FAS) - (06/04)
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