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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376105224
Report Date: 10/23/2025
Date Signed: 10/23/2025 01:02:53 PM

Document Has Been Signed on 10/23/2025 01:02 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MONTESSORI SCHOOLHOUSEFACILITY NUMBER:
376105224
ADMINISTRATOR/
DIRECTOR:
SARAH PINEDAFACILITY TYPE:
860
ADDRESS:12730 ELMPARK LANETELEPHONE:
(619) 306-0209
CITY:POWAYSTATE: CAZIP CODE:
92064
CAPACITY: 49TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/23/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Sarah PinedaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 10/23/2025 at 10:35am, Licensing Program Analysts (LPAs), Selina Siao and Samantha Clenista conducted an announced Pre-Licensing inspection for a change of ownership. Upon arrival, LPAs met with Applicant/Director Sarah Pineda. Applicant is requesting to be licensed for 12 toddlers (ages 18 to 36 months) in classroom #3 and 37 preschoolers (ages 2 to 5 years old) in classrooms #1 and #2. Hours of operation will be Monday to Friday 8:30am to 5pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed Sarah Pineda that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Sarah Pineda stated that they will be in a medication box in all classrooms. Classroom #1 medication box will be placed on top of the cubbies and classroom #2 and #3 medication box will be inside the closet. A fully equipped first aid kit is located in the kitchen area. There is an operational carbon monoxide detector on site located in classroom #1. All required licensing documents were posted on the wall located in classroom #1 outside of the Director’s office. Children will be signed in and out, outside of classroom door #1.

LPAs continued to tour the facility and measured all indoor and outdoor activity space. Total toddler indoor activity space measured to be 556.59 square feet, which is sufficient to accommodate the requested capacity of 12 children. Total preschool indoor activity space measured to be 1260.69 square feet, which is only sufficient to accommodate up to 36 children. LPAs observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via the children’s water cups or water bottles. There is a water pitcher in each classroom available for children to refill their cups or water bottle. The water is from Primo water company, and a water dispenser is located in
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MONTESSORI SCHOOLHOUSE
FACILITY NUMBER: 376105224
VISIT DATE: 10/23/2025
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the kitchen. LPAs observed all hazardous items to be inaccessible to children. There is a water fountain located outside of the preschool building with one inch of water but there is an area where the pump is located that has about six inches of water. Applicant stated that there is no weapon on the property. Fire clearance was granted on 09/24/2025.

The toddler changing tables have at least 1” padding covered with moisture-resistant, washable material located in the toddler classroom #3. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Sleep logs and Needs and Services plan are kept in the toddler room #3.

LPAs observed a total of 1 sink and 1 toilet available for toddlers and 5 sinks and 3 toilets for preschool children’s use. These are sufficient to accommodate the requested capacity. There is a separate staff restroom equipped with a toilet, two urinals and a sink. The isolation area for children who are ill will be the Director’s office and the staff restroom.



Facility will provide AM and PM snacks to children. The kitchen area currently includes a sink, microwave, refrigerator, ice maker, coffee machine and a water dispenser. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children.

The facility currently has a fully fenced playground area. The playground fencing is via chain link, and it is at least four feet high at the preschool side of the yard, but the toddler yard area fence is less than four feet high. The total square footage for the toddler outdoor activity space is 898 square feet, which is only sufficient to accommodate 11 children. And the total square footage for the preschool outdoor activity space is 2508 square feet, which is only sufficient to accommodate 33 children. Shade is provided via sail shades and shade is needed for the toddler yard. There are sufficient outdoor age-appropriate toys and play equipment available on the preschool playground. There are two climbing structures on the playground for children. The smaller structure is for children ages 2 to 6 years old, and the larger play structure is for children ages 3 to 8 years old. Both structures are properly anchored. There is adequate cushioning in fall zones of climbers provided by wood chips. Drinking water is available via the children’s own water bottles or cups during outdoor activities. LPAs observed all hazardous items on the playground to be inaccessible to children. Applicant Sarah Pineda was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MONTESSORI SCHOOLHOUSE
FACILITY NUMBER: 376105224
VISIT DATE: 10/23/2025
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Also indicate when they last did their lead test. LPAs discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPAs also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm”

LPAs reviewed with applicant the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. “

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MONTESSORI SCHOOLHOUSE
FACILITY NUMBER: 376105224
VISIT DATE: 10/23/2025
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections are needed prior to the issuance of the license:

· Enclosed the toddler yard area.
· Extend the toddler yard fence to ensure that the fence is at least 4 feet high.
· The fence surrounding the sandbox located at the toddler yard needs to be extended.
· There are certain panels of the fence located at the preschool yard that needs to be extended as there are two concrete sitting area that are placed along the fence.
· Submit pictures of the toddler yard with age-appropriate furniture and equipment.
· Final review of the corrections packet that applicant submitted to LPA during today’s inspection.
· The water fountain pump area needs to be review by the management team.

Applicant provided an updated application LIC200A during today’s inspection and she is requesting to be licensed to care for 11 toddlers (ages 18 to 36 months) and 33 preschooler (ages 2 to 5 years old) as she would like to get licensed as soon as possible.

Applicant/Director Sarah Pineda understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with the applicant, Sarah Pineda.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Selina Siao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2025
LIC809 (FAS) - (06/04)
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