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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419166
Report Date: 12/06/2024
Date Signed: 12/06/2024 10:44:00 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/24/2024 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20241024091357
FACILITY NAME:MONTESSORI OF STEVENSON RANCHFACILITY NUMBER:
197419166
ADMINISTRATOR:ROSEMARY, KOBERFACILITY TYPE:
850
ADDRESS:25940 THE OLD ROADTELEPHONE:
(661) 257-4161
CITY:STEVENSON RANCHSTATE: CAZIP CODE:
91381
CAPACITY:188CENSUS: 98DATE:
12/06/2024
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Rosemary Kober, DirectorTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff does not ensure child is treated with dignity and respect
INVESTIGATION FINDINGS:
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On Friday, December 6, 2024,Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with Director Rosemary Kober and toured the facility. At the time of the visit, there were 98 children present with 16 staff providing care and supervision.

This complaint was originally investigated by LPA Andrew Alemoh. During the investigation, LPA Alemoh conducted confidential interviews, reviewed facility files and records and toured the facility.
Based on LPA Alemoh observation and the confidential interviews from staff and children, there were no indication about backpack being thrown in the bathroom trash can and it is deemed to be unsubstantiated.

This agency has investigated the complaint. At this time, it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated. No deficiency given at this time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024
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 2
Control Number 12-CC-20241024091357
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI OF STEVENSON RANCH
FACILITY NUMBER: 197419166
VISIT DATE: 12/06/2024
NARRATIVE
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Exit interview was conducted with director Rosemary Kober. The director was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2