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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073407437
Report Date: 07/13/2023
Date Signed: 07/13/2023 03:51:13 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
04/20/2023 and conducted by Evaluator Nyeesha Blount
COMPLAINT CONTROL NUMBER: 02-CC-20230420143617
FACILITY NAME:PATTY'S MONTESSORI SCHOOLFACILITY NUMBER:
073407437
ADMINISTRATOR:MAYBERRY, REBECCAFACILITY TYPE:
850
ADDRESS:801 PARK CENTRAL STTELEPHONE:
(510) 223-0314
CITY:RICHMONDSTATE: CAZIP CODE:
94803
CAPACITY:45CENSUS: 22DATE:
07/13/2023
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:DUNSTON, ELLA TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Other ~ staff do not keep the facility free from odor.
INVESTIGATION FINDINGS:
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On July 13, 2023 at 3:00 PM Licensing Program Analyst (LPA) Nyeesha Blount, conducted an Unannounced Complaint site inspection to deliver complaint findings. LPA met with Assistant Director Dunston, Ella also present was (2) staff memebers who are background cleared. LPA advised Director of the nature of the inspection. Current Census today is 22 children which consists of (22) preschoolers. LPA obtained a copy of the children's current roster, observations and staff interviews were conducted at the time of the inspection.

Based on LPA's observations which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, 101238(a) is being cited on the attached LIC 9099 D.

The attached type B deficiency is cited today and must be corrected by the due date. An exit interview was conducted. Appeal rights were given and discussed. This report must be available for public review for 3 years. Notice of site visit was given.

Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
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 2
Control Number 02-CC-20230420143617
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: PATTY'S MONTESSORI SCHOOL
FACILITY NUMBER: 073407437
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2023
Section Cited
CCR
101239(f)
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BUILDINGS AND GROUNDS 101239(f)
Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents.

this requirement has not been met.....
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The facility will submit in writing how they will ensure that the child care center is kept clean, safe and sanitary and in good condition at all times. LPA advised to remove old diaper pale and purchase a new one that will not absorb smells. Director will advise LPA of new purchased pale and submit photos.
PLAN OF CORRECTION DOCUMENTATION SHALL BE SUBMITTED NO LATER THAN 08/03/23.
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LPA observed during inspection on 04/25/23 a strong unpleasant odor present in the facility coming from the plastic diaper pale.“which poses a potential risk to the health and safety of 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.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC9099 (FAS) - (06/04)
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