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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105016
Report Date: 08/18/2022
Date Signed: 08/18/2022 03:52:35 PM

Document Has Been Signed on 08/18/2022 03:52 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: 22DATE:
08/18/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Brandy PearceTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA), Tyra Block, made an unannounced Case Management visit for the purpose of verifying correction to playground deficiency cited 8/3/22. Present were 22 children and 7 staff.

LPA observed blue rubber mat cushioning under dome climber/ monkey bars on preschool playground and climber was securely anchored. The cushioning appears to be sufficient to absorb falls. LPA was also provided invoice prior to inspection and mats are labeled for playground shock-absorption to minimize the impact of common playground falls.

Proof of clearance was provided along with Notice of Site Visit that must be posted for 30 days.

Exit interview was conducted with facility representative/ director, Brandy Pearce.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2022
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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