090319030-9-10-2021-03-CC-MMAA-C79RU3-20210927131912

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 090319030
Report Date: 09/10/2021
Date Signed: 09/10/2021 10:46:16 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/03/2021 and conducted by Evaluator Christopher Bello

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20210903160403

FACILITY NAME:	MONTESSORI MANOR		FACILITY NUMBER:	090319030
ADMINISTRATOR:	DILLON, LESLIE		FACILITY TYPE:	850
ADDRESS:	2222 FRANCISCO DR., STE. 400		TELEPHONE:	(916) 933-2420
CITY:	EL DORADO HILLS	STATE: CA	ZIP CODE:	95762
CAPACITY:	58	CENSUS: 44	DATE:	09/10/2021
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Leslie Dillon		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff does not adhere to mask mandate at facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 8:55am. LPA met with Director Leslie Dillon to open and close a complaint investigation, regarding the above allegation. It was alleged that staff is not adhering to the mask mandate. Upon arrival LPA observed at approximately 9:00am through the window of the facility the director and two staff members not wearing a mask. Upon taking a tour of the facility LPA observed a third teacher without a mask. Today’s census was 44 children with four teachers and director. Leslie stated that staff do carry the mask on them but take them on and off throughout the day for phonics training for the children. During the investigation LPA made observations and conducted interviews that corroborated the allegation. Based on LPA’s investigation, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. LPA consulted with director to adhere to the mask mandate. There were no Title 22 deficiencies during today’s investigation. An exit interview was conducted and a Notice of Site Visit posted.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:	DATE: 09/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2021

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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