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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105016
Report Date: 01/05/2023
Date Signed: 01/05/2023 12:13:45 PM

Document Has Been Signed on 01/05/2023 12:13 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: 0DATE:
01/05/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Brandy PearceTIME COMPLETED:
11:14 AM
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On January 5, 2023 @ 11:00 a.m. Licensing Program Manager (LPM) Tashima Daniel, Licensing Program Analyst (LPA) Leilani Curtis, Licensee Janet Andrade and Director Brandy Pearce met virtually via Zoom for a scheduled office meeting. The purpose of the meeting is to discuss the recent facility citations.

The facility has been cited for the following deficiencies:
10/11/22:
101216.2(e)- Teacher Aide Qualifications and Duties: Aides were left alone to provide supervision to children.
08/15/22:
101216.3(a)- Teacher-Child Ratio: Facility out of ratio.
08/3/22:
101238.2(e)- Outdoor Activity Space: The dome climber does not have appropriate cushioning underneath. Nap mats are being used as cushion.
07/21/22:
101223(a)(2)- Personal Rights: Monkey bars and canopies are not anchored appropriately.
101239(e)(4)- Fixtures, Furniture, Equipment and Supplies: Toilets are not maintained in working order.
06/23/22:
101212(d)(1)(C)- Reporting Requirements: Facility failed to notify CCLD of “lockdown” timely.
101170(e)(2)- Criminal Record Clearance: A staff member was fingerprint clear but not associated.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2023
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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: INTELLICHILDREN MONTESSORI INSTITUTE
FACILITY NUMBER: 376105016
VISIT DATE: 01/05/2023
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The citations were discussed and the Technical Support Program (TSP) was offered today. For questions related to TSP, email: Childcaretechnicalsupport@dss.ca.gov. The director advised the department of current procedures and policies they have put into place to ensure the health and safety of the children in care.

Director Pearce and Licensee Andrade agree to operate the facility in full compliance with Title 22 and Health and Safety Code requirements.

The director and licensee were advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates, Provider Information Notices (PIN’s) and Title 22 regulations. LPA will email the director the TSP handout.

A copy of this report and appeal rights were emailed to the director at the conclusion of the meeting. Director Pearce will confirm receipt of this report via e-mail and the reply of confirmation will serve as the signature acknowledging these rights.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023
LIC809 (FAS) - (06/04)
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