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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105016
Report Date: 07/21/2022
Date Signed: 08/03/2022 03:06:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/15/2022 and conducted by Evaluator Tyra Block
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20220715151018
FACILITY NAME:INTELLICHILDREN MONTESSORI INSTITUTEFACILITY NUMBER:
376105016
ADMINISTRATOR:BRANDY PEARCEFACILITY TYPE:
850
ADDRESS:212 WEST SAN MARCOS BOULEVARDTELEPHONE:
(760) 471-0221
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY:90CENSUS: 9DATE:
07/21/2022
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Janet AndradeTIME COMPLETED:
01:28 PM
ALLEGATION(S):
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Facility in disrepair
Staff not providing a safe environment to children in care.
INVESTIGATION FINDINGS:
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On 7/21/22, Licensing Program Analyst (LPA), Tyra Block made an unannounced initial 10-day visit to investigate the above referenced allegation. LPA met with Licensee, Janet Andrade. Also present were 2 staff and 9 chidlren. All staff has criminal record clearances. LPA toured the facility and obtained a copy of the children’s roster. LPA conducted interviews with staff.
Based on the information obtained during interviews, documents reviewed, and observation it is determined that the allegation is SUBSTANTIATED. The deficiency is being cited on the attached LIC 9099D. The Notice of Site Visit was provided, and LPA observed posting. Licensee is advised it must remain posted for 30 days.
LPA Block informed the licensee to provide a copy of this licensing report dated 7/21/22 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LIC 9224 was provided along with Parent Notification Requirements.
An exit interview was conducted, with Janet Andrade. This is an amended report to revise citation to Type A.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 51-CC-20220715151018
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: INTELLICHILDREN MONTESSORI INSTITUTE
FACILITY NUMBER: 376105016
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/28/2022
Section Cited
CCR
101223(a)(2)
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101223(a)(2)-Personal Rights: The licensee shall ensure that each child is accorded the following personal rights:
To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by:

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Licensee stated she will remove unsafe equipment and anchor equipment so it is safe and does not pose a tipping risk. Picture will be provided to LPA by POC due date of 7/28/22 to verify correction along with staff memo to increase supervision in the monkey bar area and not allow children under 3 on the monkey bars.
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Based on observation and interviews the playground equipment such as moneky bars and canopies are not anchored appropriately. This poses an immediate health and safety risk to chidlren in care.
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Type A
07/28/2022
Section Cited
CCR
101239(e)(4)
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101239(e)(4)-Fixtures, Furniture, Equipment and Supplies: All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition...This requirement was not met as evidenced by:
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Licensee stated she will have toilets replaced/ plumbing repaired and send LPA work order by POC due date of 7/28/22.
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Based on observation and interviews the toilets are not maintained in working order and has been an ongoing issue at the center. This poses an immediate heatlh and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2