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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300576
Report Date: 12/14/2022
Date Signed: 12/14/2022 12:46:23 PM

Document Has Been Signed on 12/14/2022 12:46 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:
336300576
ADMINISTRATOR:DE SILVA, CHAMALIFACILITY TYPE:
840
ADDRESS:17159 GRAND AVENUETELEPHONE:
(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:Nam and 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 School Age Program (this is a combination center which also has Preschool and Infant Programs which were also toured #336300575 & #336300577). LPA met with Center Director Chamali De Silva and Nam De Silva, Applicant, toured the entire facility which also includes Infant and Preschool.

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

1. Additional age appropriate indoor activities are needed for school age children.
2. Clean all light switches through classroom.
3. Replace stained toilets seats and place liner in all cabinets.
4. Replace or repair broken outdoor play equipment and repair cracks in cushioning material.
5. Set up outdoor shade structure.
6. Remove all construction equipment/tools from classroom.
7. Repair the wrought iron fence with chipping paint.

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 and kept available for review upon request.
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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