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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093623234
Report Date: 01/12/2026
Date Signed: 01/12/2026 05:12:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/08/2026 and conducted by Evaluator Julia Maryanova
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20260108133703
FACILITY NAME:PINE TOP MONTESSORI ACADEMY (PS)FACILITY NUMBER:
093623234
ADMINISTRATOR:JILL KIMEFACILITY TYPE:
850
ADDRESS:5723 PONY EXPRESS COURTTELEPHONE:
(530) 391-2604
CITY:POLLOCK PINESSTATE: CAZIP CODE:
95726
CAPACITY:29CENSUS: 0DATE:
01/12/2026
UNANNOUNCEDTIME BEGAN:
04:50 PM
MET WITH:Carrie MolaugTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Licensee is not properly posting their license number on an advertisement.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Julia Maryanova met with Lead Teach, Carrie Molaug, for the purpose of a open complaint investigation and to deliver findings. It was alleged that Licensee is not properly posting their license number on an advertisement. No children were present as all children have been picked up.

Throughout the course of the investigation, LPA made observations. During the investigation, LPA observed Licensees did not include facility license number in online advertisements.

Therefore, based on observation, the preponderance of evidence standard has been met, and the allegation is substantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Julia Maryanova
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
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 03-CC-20260108133703
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: PINE TOP MONTESSORI ACADEMY (PS)
FACILITY NUMBER: 093623234
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/11/2026
Section Cited
CCR
101162(a)(1)
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Licensees shall reveal each child care center license number in all advertisements in accordance with Health and Safety Code Section 1596.861. This requirement was not met as evidenced by: Licensees did not include facility license number in online advertisements.
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Licensee to include license number in advertisements and will share with LPA new advertisements with the license number.
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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: Amanda Blesi
LICENSING EVALUATOR NAME: Julia Maryanova
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2