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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300577
Report Date: 12/14/2022
Date Signed: 12/14/2022 12:41:37 PM

Document Has Been Signed on 12/14/2022 12:41 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:
336300577
ADMINISTRATOR:DE SILVA, CHAMALIFACILITY TYPE:
830
ADDRESS:17159 GRAND AVENUETELEPHONE:
(951) 378-4103
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY: 4TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
12/14/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Chamali and Nam 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 Infant/Toddler Program (this is a combination center which also has Preschool and School Age Programs which were also toured #336300575 & #336300576). LPA met with Center Director Chamali De Silva and Nam De Silva, Applicant, toured the entire facility which also includes Preschool and School Age.

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

1. Additional age appropriate indoor activities are needed for Infants children.
2. Replace stained toilets seats and place liner in all cabinets.
3. Additional outdoor equipment is needed for playground (Infant/Toddler).
4. Set up outdoor shade structure.
5. Changing table with correct size padding material.
6. Obtain high chairs for feeding.
7. Request Waiver for shared playground with Toddler Option on scheduled time basis.

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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