013417509-6-8-2021-02-CC-MMEA-C42PAY-20210616110929

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013417509
Report Date: 06/08/2021
Date Signed: 06/08/2021 10:28:44 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, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/22/2021 and conducted by Evaluator Catherine Fernandes

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210322160056

FACILITY NAME:	LITTLE ELEPHANT MONTESSORI		FACILITY NUMBER:	013417509
ADMINISTRATOR:	NATANYA MOORE		FACILITY TYPE:	850
ADDRESS:	5782 MILES AVENUE		TELEPHONE:	(510) 597-1963
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94618
CAPACITY:	33	CENSUS: 14	DATE:	06/08/2021
		UNANNOUNCED	TIME BEGAN:	08:43 AM
MET WITH:	Natanya Moore		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Adequate supervision was not provided resulting in day care child being injured by another day care child.
Licensee failed to inform child’s parent of injuries sustained while in care.

INVESTIGATION FINDINGS:

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On June 8th, 2021, at 8:43am, Licensing Program Analyst (LPA) Catherine Fernandes arrived unannounced to deliver the findings to the complaint investigation regarding the above allegations. Upon arriving to the center LPA observed four staff members and 14 children present during the visit. Throughout the course of the investigation LPAs Fernandes and Melissa Domantay have observed the center, reviewed facility files and conducted interviews with parents staff and children.
An allegation was made regarding supervision, however LPA Fernandes observed the center on May 4th, May 25th and June 8th, 2021 where there were two staff members actively observing the children in the class. During those visits LPAs Fernandes and Domantay did observe the children interacting where there were incidents that occurred between the children however staff was able to intervene. Another allegation was made regarding injuries not being reported to parents, interviews indicated that not all falls or ouchies are reported to parents however ones that require treatment physically or mentally are usually reported. Therefore the above allegations is UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.
Exit interview conducted
Report and Appeal right provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021

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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