015700540-10-11-2023-52-CC-WNOA-CWKRV9-20231013132107

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015700540
Report Date: 10/11/2023
Date Signed: 10/11/2023 01:20:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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 Briana Plumboy

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20230728114951

FACILITY NAME:	ADVENTURE MONTESSORI ACADEMY		FACILITY NUMBER:	015700540
ADMINISTRATOR:	BRODOWSKI, ELIZABETH		FACILITY TYPE:	850
ADDRESS:	4101 PLEIADES PLACE		TELEPHONE:	(408) 464-3131
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	60	CENSUS: 28	DATE:	10/11/2023
		UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Elizabeth Brodowski- Director		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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9

Personal Rights- Staff spoke inappropriately to child while in care
Personal Rights- Staff handled child inappropriatly
Perosnal Rights- Staff do not treat day care chiildren with dignity or respect
Personal Rights- Staff hit day care child

INVESTIGATION FINDINGS:

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THIS IS AN AMENDED REPORT OF THE ORIGINAL LIC 9099 ON 08/30/2023.
On 10/11/23, LPAs Plumboy and Dunevant met with Director Elizabeth Brodowski for a complaint investigation regarding the above allegations. Present during the inspection was 28 children in care and 4 staff.
LPA Andrew Elliot conducted an investigation into the above allegation. LPA delivered the findings to Director Elizabeth Brodowski at the facility on 09/29/2023 at 9:00 am. LPA interviewed the complainant, staff at the facility. The allegation may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation was found to be UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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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