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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300575
Report Date: 12/14/2022
Date Signed: 12/14/2022 12:32:02 PM

Document Has Been Signed on 12/14/2022 12:32 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BRIGHT MINDS MONTESSORI,INC.FACILITY NUMBER:
336300575
ADMINISTRATOR:DE SILVA, CHAMALIFACILITY TYPE:
850
ADDRESS:17159 GRAND AVETELEPHONE:
(951) 378-4103
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
12/14/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Chamali De SilvaTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Ana Noble arrived at the facility for the purpose of verifying, Plan of Corrections for Preschool Program (this is a combination center which also has Infant and School Programs which were also toured #336300576 & #336300577). LPA met with Center Director Chamali De Silva and Nam De Silva, Applicant, toured the entire facility which also includes Infant and School Age.

The following items are still needing to be complete prior to licensing:

1. Repair broken/non-operable drinking fountain faucets, add toilet paper and paper towels to all classrooms.
2. Replace stained toilets seats and place liner in all cabinets.
3. Additional indoor activities are needed to meet the requested capacity of 12 children.
4. Install all window screens.
6. Set up outdoor shade structure.
7. Will review pictures of the outdoor slide with Licensing Program Manager.
8. Kitchen needs to be cleared, cleaned and set up for operation of the kitchen. Food items should be in the pantry, refrigerator needs to be in it location, plugged in and operable, sink and stove cleaned.

Licensee will send pictures or a inspection will be conducted if needed to verify all corrections have been completed.

Exit interview conducted and reports were reviewed and provided to Mr/Mrs. De Silva. All reports must be maintained for 3 years.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2022
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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