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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105016
Report Date: 10/11/2022
Date Signed: 10/11/2022 02:34:27 PM

Document Has Been Signed on 10/11/2022 02:34 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: 39DATE:
10/11/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Brandy PearceTIME COMPLETED:
02:45 PM
NARRATIVE
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On October 11, 2022 at 1:45 p.m. Licensing Program Analyst (LPA) Leilani Curtis conducted a case management inspection. Upon arrival LPA met with Director Brandy Pearce and toured the facility. There were 39 children present with 6 staff members. Appropriate ratio was observed. Staff members have the required background clearances and are associated to the facility.

LPA conducted previous inspections at this facility on 8/15/2022 and at the associated infant center, license number 376105015 on 8/3/2022 and 8/15/2022. LPA interviewed several staff members on site and via telephone. The information gathered indicates that during the summer, in July and/or August of 2022, aides were left alone to provide care and supervision to children. The aides were not under the direct supervision of a fully qualified teacher, director or assistant director.

See LIC809 for cited deficiency.

An exit interview was conducted with Director Pearce and Appeal Rights (LIC 9058) were discussed. The director was provided with a copy of this report and her appeal rights (LIC 9058). LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2022
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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Document Has Been Signed on 10/11/2022 02:34 PM - It Cannot Be Edited


Created By: Grace Curtis On 10/11/2022 at 07:47 AM
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: INTELLICHILDREN MONTESSORI INSTITUTE
FACILITY NUMBER: 376105016

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2022
Section Cited
CCR
101216.2(e)

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101216.2 Teacher Aide Qualifications and Duties: (e) An aide shall work only under the direct supervision of a teacher. This requirement was not met as evidenced by:
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The director states that she will conduct a staff meeting to discuss teacher and teacher aide qualifications and duties. The director will send LPA a copy of the meeting agenda and staff sign in sheets to LPA via email by 10/25/22.
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Based interview's conducted by LPA aides were left alone to provide care and supervision to children in July and/or August 2022 without the direct supervision of a teacher, director or assistant director. This poses a potential health 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.
SUPERVISOR'S NAME:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2022


LIC809 (FAS) - (06/04)
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