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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001321
Report Date: 10/19/2026
Date Signed: 10/19/2026 12:54:12 PM

Document Has Been Signed on 10/19/2026 12:54 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MONTESSORI CHILDREN'S HOUSE-TULANE ROADFACILITY NUMBER:
414001321
ADMINISTRATOR/
DIRECTOR:		MONTE, MAUREEN M.FACILITY TYPE:
850
ADDRESS:315 TULANE ROADTELEPHONE:
(650) 342-0447
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 44DATE:
10/19/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Maureen MonteTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On 10/19/2026 at 8:50AM., Licensing Program Analyst (LPA), Luis Gomez met with Assistant Director, Kasey Bonner. The purpose of today's visit was explained and was for an unannounced, annual-random inspection. This facility is a licensed preschool program. The Director, Maureen Monte arrived during inspection. Present was the director, and 7 staff supervising 44 children. The children present had been properly signed in by their guardians. The preschool utilizes two classrooms: Lower (2.5- 4 year old) and Upper (4-5 years old) and the shared outdoor play yard. The days and hours of operation are: Monday- Friday 8:35AM.,- 3:30PM. Per director, school offers both morning and afternoon cohorts/ part-day sessions and full day. The facility was inspected indoors and outdoors for health and safety hazards.

At 9:10AM., LPA observed the following: The classrooms were neat and orderly, with age-appropriate materials and learning supplies made available for the children. The floors/ ground surfaces, including carpets, were clear of obstructions or hazards. The LPA observed the accessible furniture, toy, and playthings which were in good repair. The facility has cubbies and hangers available for storage of children’s belongings. Each classroom was equipped with several tables/ chairs, scaled to the appropriate size.

The children’s bathrooms were maintained clean with soap and paper towels available for hand washing. The LPA observed step stools available near sinks.

For scheduled rest, LPA observed foldable mats stored in the facility. Per director, the rest supplies are washed and returned by guardians once per week.

The facility had adequate ventilation, was well lit and maintained at a comfortable temperature. They had a functioning telephone service; functioning carbon monoxide/ smoke combination detector; and fire extinguisher size, 2A10BC. LPA inspected kitchen area during inspection. The food storage area was free of litter or rubbish. Per director, food service items are brought from home. (REFER TO 809C, FOR CONT.)

Marie Rodriguez
Luis Gomez
DATE: 03/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 7
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MONTESSORI CHILDREN'S HOUSE-TULANE ROAD
FACILITY NUMBER: 414001321
VISIT DATE: 10/19/2026
NARRATIVE
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(Page 2)
At 9:50AM., LPA inspected the shared outside play yard. The area was completely enclosed with tall fencing. The playthings inspected were in like-new condition, and climbing structure (anchored), had absorbent material installed underneath. LPA observed large trees and built-in benches nearby for adequate shade.
For water services, labeled water bottles are brought from home and available for children to drink water as they wish.

At 10:15AM., LPA reviewed facility records including sample of 5 children’s files and 7 personnel files. The staff files contained the: Notice of Employee Rights (LIC9052); Acknowledgement to Report Suspected Child Abuse (LIC9108); Proof of Teacher Qualification; and Personnel Record (LIC501).

At 10:30AM., Based on record review., LPA confirmed facility did not complete required water lead testing of fixtures prior to due date: 1/1/2023. Advisory Note technical violation was issued.

At 10:35AM., Based on record review., LPA confirmed, ALE results for this facility show exceedance of higher level of parts per billion (ppb) than allowable, 5.5 ppb on water fixtures C and D.

Per director, the affected fixture, are being used for hand washing only. Per director, facility uses sinks in kitchen area for water ingestion/ water bottle refill.

At 10:45AM, Based on record review, LPA confirmed staff's proof of immunization missing from facility records. Advisory Note: Technical Violation was issued.

The children’s files were reviewed and included the: Consent for Medical Treatment (LIC627); Notification of Parents Rights (LIC995A); Identification of Emergency Information (LIC700); Immunization Record; and Personal Right Form (LIC613A).

The staff’s cardiopulmonary resuscitation and pediatric first aid certification was current, expiring on: 11/2027.

The emergency disaster drill was completed on: 9/16/2026, and was properly logged.

The required forms had been viably posted and included the: License Certificate; Notification of Parents Rights (LIC995A); Emergency Disaster Plan (LIC610); Personal Rights Form (LIC613A); and California Seat Belt Safety Laws. (REFER TO 809C, FOR CONT.)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2026
LIC809 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MONTESSORI CHILDREN'S HOUSE-TULANE ROAD
FACILITY NUMBER: 414001321
VISIT DATE: 10/19/2026
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This facility provides Incidental Medical Services – (IMS) at this time. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

The director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.



Based on today's inspection, deficiencies were observed in the areas evaluated, according to Title 22, Division 12, Chap. 1 Ca. Health and Safety Code of Regulations and cited on LIC809D. An exit interview was completed, including a review of facility evaluation report and plan of correction was conducted with Director, Maureen Monte. The signature of this form acknowledges receipt of these documents.

This report and rights to comment were discussed. This report must be available in the facility file for public review. The Notice of site visit was provided and must remain posted for 30 days. The director was advised for additional questions to contact the San Bruno Regional Office, M-F, 8:00am-5:00pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2026
LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 10/19/2026 12:54 PM - It Cannot Be Edited


Created By: Luis Gomez On 10/19/2026 at 12:38 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI CHILDREN'S HOUSE-TULANE ROAD
FACILITY NUMBER: 414001321

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
WD
10700.3(b)(1)
101700.3 California Lead Action Level at Child Care Centers (b)(1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was not met as evidenced by:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on results received from the certified water samplers, the facility exceeded 5.4 ppb of lead in their water source (C and D). This poses a potential health and safety risk to children in care.
POC Due Date: 11/20/2026
Plan of Correction
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The facility will cease immediately the use of affected fixtures from childcare operation. The facility will ensure affected fixtures replaced and retested prior to the due date: 11/20/2026.
Facility with External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), and Results Summary.
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.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Luis Gomez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2026


LIC809 (FAS) - (06/04)
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