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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105193
Report Date: 08/26/2026
Date Signed: 08/26/2026 02:18:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/20/2026 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20260820121406
FACILITY NAME:MONTESSORI BY THE SEAFACILITY NUMBER:
376105193
ADMINISTRATOR:ALEXIS VELASQUEZFACILITY TYPE:
860
ADDRESS:6551 SOLEDAD MOUNTAIN ROADTELEPHONE:
(858) 922-6714
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:105CENSUS: 62DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Alexis VelasquezTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff did not obtain authorized written consent to administer medication for day care child
Staff do not ensure medication is inaccessible to day care children
INVESTIGATION FINDINGS:
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 On 08/25/2026 at 8:30 AM, Licensing Program Analyst (LPA) Annette Sutherland arrived at the facility to conduct a complaint inspection regarding a complaint received on 08/20/2026. During the investigation, LPA interviewed multiple parties and reviewed relevant documentation pertaining to the allegations. LPA met with Facility Owner/Director Alexis Velasquez.

Based on interviews conducted and records reviewed, the investigation determined that facility staff administered prescription medication to a child (C1) in care prior to obtaining the required written authorization. Information obtained during the investigation indicated that the medication was provided to the facility on 08/05/2026 and was administered to the child that same day.

LPA reviewed the Parent Consent for Administration of Medications and Medication Chart (LIC 9221). The LIC 9221 reflected a beginning medication date of 08/05/2026; however, the form was not signed and dated until 08/07/2026.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 51-CC-20260820121406
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 BY THE SEA
FACILITY NUMBER: 376105193
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/28/2026
Section Cited
CCR
101226(e)(3)(B)
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Health-Related Services (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.The licensee shall obtain written approval and instructions from the child’s authorized representative prior to administering medication to the child.
This requirement was not met as evidenced by:
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The Director stated that the facility will ensure written authorization and instructions are obtained from a child’s authorized representative prior to administering any medication. The Director will review medication procedures with staff and provide training regarding medication authorization requirements. Proof of staff training, including a signed staff roster, will be submitted to LPA by 08/28/2026.
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Based on interviews conducted and documentation reviewed, facility staff administered medication to a child in care without first obtaining the required written authorization from the child’s authorized representative. This poses a potential health, safety, or personal rights 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: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 51-CC-20260820121406
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 BY THE SEA
FACILITY NUMBER: 376105193
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/27/2026
Section Cited
CCR
101226(e)(1)(A)
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Health-Related Services.All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below:
(A) Medications shall be kept in a safe place inaccessible to children.This requirement was not met as evidenced by:
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The Director immediately corrected the deficiency by ensuring that all medications are placed in a designated secure location inaccessible to children. The Director will review medication storage requirements with all staff and ensure medications are properly stored at all times. Proof of staff training, including a signed staff roster, will be submitted to LPA by 8/27/26.


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 Based on interviews conducted and documentation reviewed, facility staff failed to ensure that medication was stored in a safe place inaccessible to children in care. Medication was put in the childs cubby accessible to children. This poses an immediate 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: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 51-CC-20260820121406
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 BY THE SEA
FACILITY NUMBER: 376105193
VISIT DATE: 08/26/2026
NARRATIVE
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Additionally, the medication chart did not contain documentation of the dates, times, or staff signatures for medication administered. LPA verified with multiple parties that the mediation was administered to child.
LPA reviewed the area where the medication was reportedly stored.

Based on the information obtained through interviews, records reviewed, and documentation, the preponderance of evidence standard has been met. Therefore, the allegations are SUBSTANTIATED.
A Type A deficiency and a Type B deficiency are being cited on the attached LIC 9099D.
LPA Annette Sutherland informed the facility representative Alexis Velasquez that this report dated 08/26/2026 documents one Type A citation, which shall be posted for 30 consecutive days due to an immediate risk to the health, safety, or personal rights of children in care.

LPA Annette Sutherland also informed the facility representative that a copy of this licensing report documenting the Type A citation must be provided to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to parents/guardians of newly enrolled children for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be maintained in each applicable child’s file for verification. An exit interview was conducted, and the report was reviewed with the facility representative Alexis Velasquez. A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4