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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010213903
Report Date: 09/20/2023
Date Signed: 09/20/2023 09:36:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/28/2023 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20230728160846
FACILITY NAME:MONTESSORI SCHOOL AT WASHINGTON AVENUEFACILITY NUMBER:
010213903
ADMINISTRATOR:YOUSSEF, MARIANFACILITY TYPE:
850
ADDRESS:14795 WASHINGTON AVENUETELEPHONE:
(510) 357-8432
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY:111CENSUS: 53DATE:
09/20/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director Marian YoussefTIME COMPLETED:
09:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Personal Rights - Staff hit day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Wednesday, September 20, 2023, at 9 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a subsequent complaint investigation visit. LPA met with the Director Marian Youssef and explained the nature of the visit. The findings were delivered on this visit. Present on this visit were 9 staff and 53 preschool children. The facility operates from Monday to Friday, 7 am to 6 pm.
The LPA has investigated alleging that S1 hit C1 in the face that led to bruising under C1 left eye as per RP statement. During the investigation the LPA conducted a physical plant inspection, interviews with facility staff, and record review. Based on the staff interview and LPA observation, staff used techniques such as redirecting to minimize difficult situations. Based on record review, the small red mark/dot near on C1’s eye appears to be a self inflicted scratch.
Based on the interviews and information obtained throughout the investigation, the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed UNSUBSTANTIATED.
Notice of site visit was given and must remain posted for 30 days. Exit interview conducted with the Director Marian Youssef .
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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