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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105016
Report Date: 08/03/2022
Date Signed: 08/03/2022 03:14:55 PM

Document Has Been Signed on 08/03/2022 03:14 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
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: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 46DATE:
08/03/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Janet AndradeTIME COMPLETED:
11:30 AM
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On 8/3/22, Licensing Program Analysts (LPAs), Tyra Block and Leilani Curtis, conducted and unannounced visit for the purpose of verifying POCs. Present at the facility were 8 staff with 46 children. All staff had criminal record clearances. Appropriate ratios were observed.

POC was cleared for Type A citation cited on 7/21/22 related to toilets. Canopy and patio umbrella have been removed, however, climber has not been corrected. An extension was granted, POC due 8/4/22. Caution tape will be used to make equipment off limits until correction made. Receipt will be provided by POC due date and correction complete by 8/10/22.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE: DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/03/2022
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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