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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006093
Report Date: 04/07/2023
Date Signed: 04/07/2023 11:01:20 AM

Document Has Been Signed on 04/07/2023 11:01 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:COUNTRY MONTESSORI SCHOOL OF POWAYFACILITY NUMBER:
372006093
ADMINISTRATOR:ADELA CORRALESFACILITY TYPE:
850
ADDRESS:12642 MONTE VISTA ROADTELEPHONE:
(858) 673-1756
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 142TOTAL ENROLLED CHILDREN: 165CENSUS: 28DATE:
04/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Susan KolleTIME COMPLETED:
11:15 AM
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On 4/7/23 at 8:45am, Licensing Program Analysts (LPAs) Patrick Ma and Gerald Poindexter conducted an unannounced Case Management inspection for the purpose of measuring and inspecting the playgrounds. Upon arrival, LPA’s met with Director of Development Susan Kolle and spoke with Director Adela Corrales over the phone. School was closed for parent/teacher conferences but had 28 children in care for parents involved in the conferences supervised by 4 staff members.

This facility is currently licensed for 142 children and identified 3 playground areas during their last annual inspection. Playgrounds were measured and photos were taken.

Playground 1 – Serengeti measured 13,771 square feet, which is sufficient to accommodate up to 183 children.
Playground 2 – Boat Playground measured at 7560 square feet, which is sufficient to accommodate up to 100 children.
Playground 3 – Elementary Playground measured at 8580 square feet, which is sufficient to accommodate up to 114 children.
All 3 playgrounds have a total capacity of 397.

Play structure on Playground 1 - Serengeti has a manufacturer recommendation for ages 2-5 and a “rock” climbing structure for ages 4-8. A teacher is designated to supervise around the rock climbing structure during outdoor play to ensure all children 3 and under do not utilize the equipment. All other equipment is age appropriate. Ms Kolle stated the school wishes to continue using all 3 playgrounds. Direct visual supervision is required at all times when children are in care.
No deficiencies cited.
Exit interview conducted and report was reviewed with the facility representative Susan Kolle. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Patrick Ma
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2023
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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