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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073402302
Report Date: 02/08/2024
Date Signed: 02/08/2024 04:31:54 PM

Substantiated


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
01/30/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240130144846
FACILITY NAME:ANGELS MONTESSORI PRESCHOOL - CONCORDFACILITY NUMBER:
073402302
ADMINISTRATOR:KARAMPOUR, MARYAMFACILITY TYPE:
850
ADDRESS:1566 BAILEY ROADTELEPHONE:
(925) 686-5621
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:49CENSUS: 13DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maryam KarampourTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure they were not out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/08/2024 at 10:15 AM, Licensing Program Analysts (LPAs) Christina Watts and Dealia Frison conducted an Initial Unannounced Complaint Investigation at Angels Montessori Preschool - Concord. LPAs met with Director, Maryam Karampour and explained purpose of investigation. Finding for the above allegation was delivered during the inspection. Director stated there are 15 children enrolled. Complainant alleges that Staff did not ensure they were not out of ratio. During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. During today's visit, LPAs observed 13 preschool aged children with 1 staff caring and supervisiving children alone for two hours and a behavorial theperist. It was determined that facility was out of ratio. Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.
*CON'T ON LIC 9099C*
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
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 14
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
01/30/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240130144846

FACILITY NAME:ANGELS MONTESSORI PRESCHOOL - CONCORDFACILITY NUMBER:
073402302
ADMINISTRATOR:KARAMPOUR, MARYAMFACILITY TYPE:
850
ADDRESS:1566 BAILEY ROADTELEPHONE:
(925) 686-5621
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:15CENSUS: 13DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maryam KarampourTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left day care children unattended
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/08/2024 at 10:15 AM, Licensing Program Analysts (LPAs) Christina Watts and Dealia Frison conducted an Initial Unannounced Subsequent Complaint Investigation at Angels Montessori Preschool - Concord. LPAs met with Director, Maryam Karampour and explained purpose of investigation. During today's visit, LPAs observed 13 preschool aged children in care with 1 staff and a behavorial theperist. Director stated 15 children are enrolled. Finding for the above allegation was delivered during the inspection. Complainant alleges that Staff did not ensure they were not out of ratio. During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. LPAs observed facility and observed on multiple occasions where children were left unsupervised. It was determined that children have been left without visual supervision of staff. Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.
*CON'T ON LIC 9099C*
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
101229(a)(1)
1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
1
2
3
4
5
6
7
By 02/09/2024, Director stated they will submit a written statement on how facility will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
8
9
10
11
12
13
14
This requirement has not been met as evidenced by: Based on observation, the licensee did not comply with the section cited above when children were left unsupervised which poses an immediate risk to the health, safety or personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
VISIT DATE: 02/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
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*PAGE 2*

LPA Christina Watts informed Director, Maryam Karampour that this report dated 02/08/2024 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Director to provide a copy of this licensing report dated 02/08/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians 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 placed in the child's file for verification.


Exit interview was conducted with Director, Maryam Karampour. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 14
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
01/30/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240130144846

FACILITY NAME:ANGELS MONTESSORI PRESCHOOL - CONCORDFACILITY NUMBER:
073402302
ADMINISTRATOR:KARAMPOUR, MARYAMFACILITY TYPE:
850
ADDRESS:1566 BAILEY ROADTELEPHONE:
(925) 686-5621
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:15CENSUS: 13DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maryam KarampourTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent day care children from having access to hazardous items
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/08/2024 at 10:15 AM, Licensing Program Analysts (LPAs) Christina Watts and Dealia Frison conducted an Initial Unannounced Complaint Investigation at Angels Montessori Preschool - Concord. LPAs met with Director, Maryam Karampour and explained purpose of investigation. During today's visit, LPAs observed 13 preschool aged children in care with 1 staff and a behavorial theperist. Finding for the above allegation was delivered during the inspection. Complainant alleges that Staff did not ensure they were not out of ratio. During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. LPA observed mutliptle hazardous items were accessible to children in care. It was determined that staff did not prevent day care children from having access to hazardous items. Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page. *CON'T ON LIC 9099C*

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
101238(g)
1
2
3
4
5
6
7
101238 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement has not been met as evidenced by:
1
2
3
4
5
6
7
By 02/09/2024, Director stated they will submit a written statement on how facility will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
8
9
10
11
12
13
14
Based on observation and interviews, the licensee did not comply with the section cited above when multiple cleaning supplies were accessible to children which poses an immediate risk to the health, safety or personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
VISIT DATE: 02/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
*PAGE 2*

LPA Christina Watts informed Director, Maryam Karampour that this report dated 02/08/2024 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Director to provide a copy of this licensing report dated 02/08/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians 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 placed in the child's file for verification.


Exit interview was conducted with Director, Maryam Karampour. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 8 of 14
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
01/30/2024 and conducted by Evaluator Christina Watts
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20240130144846

FACILITY NAME:ANGELS MONTESSORI PRESCHOOL - CONCORDFACILITY NUMBER:
073402302
ADMINISTRATOR:KARAMPOUR, MARYAMFACILITY TYPE:
850
ADDRESS:1566 BAILEY ROADTELEPHONE:
(925) 686-5621
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY:15CENSUS: 13DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maryam KarampourTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide adequate food service to day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/08/2024 at 10:15 AM, Licensing Program Analysts (LPAs) Christina Watts and Dealia Frison conducted an Initial Unannounced Complaint Investigation at Angels Montessori Preschool - Concord. LPAs met with Director, Maryam Karampour and explained purpose of investigation. During today's visit, LPAs observed 13 preschool aged children in care with 1 staff and a behavorial theperist. Director stated there are 15 children enrolled. Finding for the above allegation was delivered during the inspection. Complainant alleges that Staff did not provide adequate food service to day care children. During the course of the investigation, LPA inspected the facility, reviewed records and conducted interviews. LPAs observed an inadequate amount of food in the facility to provide children an morning and afternoon snack. It was determined that facility is not providing adequate food service to day care children. Based on the interviews and information obtained throughout the investigation, the preponderance of evidence standard has been met. Therefore, the allegation is SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on 9099-D page.
*CON'T ON LIC 9099C*
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 9 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
101227(a)(4)
1
2
3
4
5
6
7
101227 Food Services (a) In child care centers providing meals to children, the following shall apply: (4) Between meals, snacks shall be available for all children...Each snack shall include at least one serving from each of two or more of the four major food groups.
1
2
3
4
5
6
7
By 02/09/2024, Director stated they will submit a written statement on how facility will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
8
9
10
11
12
13
14
This requirement has not been met as evidenced by: Based on observation, the licensee did not comply with the section cited above facility failure to provide enough snacks for children which poses an immediate/potential risk to the health, safety or personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 10 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
VISIT DATE: 02/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
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31
32
*PAGE 2*

LPA Christina Watts informed Director, Maryam Karampour that this report dated 02/08/2024 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Director to provide a copy of this licensing report dated 02/08/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians 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 placed in the child's file for verification.


Exit interview was conducted with Director, Maryam Karampour. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 11 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
101216.3(a)
1
2
3
4
5
6
7
101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...This requirement has not been met as evidenced by:
1
2
3
4
5
6
7
By 02/09/2024, Director stated they will submit a written statement on how facility will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
8
9
10
11
12
13
14
Based on observations, the licensee did not comply with the section cited above when LPAs observed 1 fully qualified teacher supervising 13 children alone for 2 hours which poses an immediate risk to the health, safety or personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
Page: 13 of 14
Control Number 02-CC-20240130144846
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ANGELS MONTESSORI PRESCHOOL - CONCORD
FACILITY NUMBER: 073402302
VISIT DATE: 02/08/2024
NARRATIVE
1
2
3
4
5
6
7
8
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10
11
12
13
14
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*PAGE 2*

LPA Christina Watts informed Director, Maryam Karampour that this report dated 02/08/2024 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Director to provide a copy of this licensing report dated 02/08/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians 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 placed in the child's file for verification.


Exit interview was conducted with Director, Maryam Karampour. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC9099 (FAS) - (06/04)
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