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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701528
Report Date: 01/11/2023
Date Signed: 01/11/2023 10:39:21 AM

Document Has Been Signed on 01/11/2023 10:39 AM - 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:MY MONTESSORI SCHOOL CORONADOFACILITY NUMBER:
376701528
ADMINISTRATOR:CORINA TELLEZFACILITY TYPE:
850
ADDRESS:1123 8TH STREETTELEPHONE:
(619) 870-6459
CITY:CORONADOSTATE: CAZIP CODE:
92118
CAPACITY: 30TOTAL ENROLLED CHILDREN: 27CENSUS: 23DATE:
01/11/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Corina TellezTIME COMPLETED:
11:00 AM
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On 1/11/23 at 9:55am, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced plan of correction inspection to ensure the deficiency cited 12/14/22 was corrected. Upon arrival, LPA met with Director, Corina Tellez and disclosed the purpose of the inspection. LPA was led on a tour of the facility. There were 23 children and four (4) staff members present.

LPA observed a safety gated attached to a door in classroom A which leads to the patio 1 area and the system in place for children to be escorted to the restroom. Director submitted a written summary of a staff training which was conducted regarding supervision. Child files were reviewed and contain signed LIC9224 Acknowledgement of Licensing Report.

No deficiencies cited.



LPA conducted an exit interview with Director, Corina Tellez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2023
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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