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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006093
Report Date: 09/30/2024
Date Signed: 09/30/2024 02:35:48 PM

Document Has Been Signed on 09/30/2024 02:35 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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:COUNTRY MONTESSORI SCHOOL OF POWAYFACILITY NUMBER:
372006093
ADMINISTRATOR/
DIRECTOR:		ADELA CORRALESFACILITY TYPE:
850
ADDRESS:12642 MONTE VISTA ROADTELEPHONE:
(858) 673-1756
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 142TOTAL ENROLLED CHILDREN: 142CENSUS: DATE:
09/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Adela CorralesTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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On 9/30/24 at 9:10 a.m., Licensing Program Analyst (LPA), Renita Rodriguez and Licensing Program Manager (LPM), Renesha Askew, met with Director Adela Corrales for the purpose of an unannounced Annual inspection. LPA identified self, displayed badge, and advised of the reason for the inspection. Upon arrival LPA and LPM toured the facility. There were 22 children and 3 staff present in Dragonflies room, 24 children and 4 staff in Lady Bugs room, and 25 children with 4 staff in the Bumblebee room. Facility was not within ratio and capacity as Bumblebees room only had one qualified teacher. Program operates Monday - Friday approximately 7:30 a.m. -6:00 p.m.

The rooms were clean, orderly and a comfortable temperature during this visit. Adequate ventilation and heating are available. All required forms were posted. LPA advised that posted facility sketches should be updated to current copy.The furniture, books, games, and toys are safe, age-appropriate and in good repair. There is a variety of activities provided throughout the day. There is a kitchen in each room that is clean and sanitary. Facility provides snack only, children bring their own lunches. Food is stored in covered containers at 45 degrees or less and there is no expired or contaminated food present. The food meets the nutritional requirements per regulation and is of good quality and proper quantity. The snack menu is posted, changes are recorded, and menus are stored for 30 days. Drinking water is readily available. Any waste water used to clean is being discarded after use.

Napping equipment is sufficient for each child, bedding is stored separately, and mats are disinfected after use. Facility reminded to ensure that there is adequate space between mats for easy passage and that they are not blocking entrances or exits. Hand washing and toileting areas are in a safe, sanitary and operating condition. Poisons, disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: COUNTRY MONTESSORI SCHOOL OF POWAY
FACILITY NUMBER: 372006093
VISIT DATE: 09/30/2024
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Outdoor play areas consist of 3 playgrounds which are separately fenced. Playgrounds 1 and 2 have play equipment for children ages 5-12 which is not age appropriate for preschool children. LPA and LPM advised that waiver on file and schedule previously approved 10/26/23 pertain to playground #3 (North-Preschool) only. Director states she plans to have play equipment that is not age appropriate removed. Advised once equipment is removed we can revisit the use of those playgrounds. Reminder, per title 22 there should be a separate playground for the preschool children outside of private elementary school. Playground #3 has age appropriate playground equipment and outdoor surfaces are in a safe condition. Adequate shade is provided. Water Dispenser is available outdoors.

There are several staff present with current CPR and First Aid certification. Medications are stored in the classrooms, inaccessible to children with all required documentation in place. The carbon monoxide detector is operational. The facility has a written disaster plan in place that meets regulatory requirement and has been conducting and documenting evacuation drills every six months, last conducted on 9/13/24. The facility does not transport children. There are no bodies of water, firearms or ammunition on the property.

LPA reviewed sign in/out sheets (electronic), LPA reminded director to ensure parents are properly signing in and out daily. A sample of personnel records and a sample of children's records were reviewed. All were found to be in compliance with Title 22 regulation but not all staff stated to be teachers were qualified and some stated to be aides were qualified teachers. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.

Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the front office. The facility has sufficient Personal Protective Equipment (PPE). Reporting requirements for positive Covid-19 results in children or staff were discussed to include contact with County Department of Public Health for guidance as needed (619-692-8499) and Licensing (619-767-2248) to report the unusual incident for two or more cases.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. There was one staff present with a clearance that was NOT associated to the facility.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
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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 DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: COUNTRY MONTESSORI SCHOOL OF POWAY
FACILITY NUMBER: 372006093
VISIT DATE: 09/30/2024
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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.

LPA verified that the lead testing was completed on 1/10/2023 in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.

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-carecenters/.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Exit interview conducted and report was reviewed with the Director Adela Corrales. See LIC 809D for deficiencies cited. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Renesha Askew
LICENSING EVALUATOR NAME: Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
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Document Has Been Signed on 09/30/2024 02:35 PM - It Cannot Be Edited


Created By: Renita Rodriguez On 09/30/2024 at 01:38 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: COUNTRY MONTESSORI SCHOOL OF POWAY
FACILITY NUMBER: 372006093

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.3(a)
Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview the licensee did not comply with the section cited above in that the facility did not have the needed qualified teachers in the classroom. As there were 25 children present with 2 teachers and 2 aides which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/30/2024
Plan of Correction
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Cleared during visit. Floater arrived and will be assigned to the class to ensure ratios are met. LPA reviewed file. Floater is a fully qualified teacher.
Type B
Section Cited
CCR
101170(e)(2)

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: ... (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) ...

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview, the licensee did not comply with the section cited above as Licensee did not ensure staff# 1, who is cleared, clearance was associated to the facility which poses a potential health, safety or personal rights risk to persons in care. Civil penalty assessed.
POC Due Date: 09/30/2024
Plan of Correction
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Cleared during visit. Director faxed in the transfer request for S1 to be associated and provided proof of fax transmittal to LPA.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Renesha Askew
LICENSING EVALUATOR NAME:Renita Rodriguez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2024


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