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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419681
Report Date: 05/16/2022
Date Signed: 05/16/2022 12:25:54 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2022 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 30-CC-20220301094559
FACILITY NAME:PALOS VERDES MONTESSORI ACADEMYFACILITY NUMBER:
197419681
ADMINISTRATOR:OFELIA WATANABEFACILITY TYPE:
850
ADDRESS:28451 INDIAN PEAK ROADTELEPHONE:
(310) 541-2405
CITY:RANCHOS PALOS VERDESSTATE: CAZIP CODE:
90274
CAPACITY:98CENSUS: 85DATE:
05/16/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:G. Harshi, Owner/AdminTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Facility is operating beyond the terms and conditions of the license
INVESTIGATION FINDINGS:
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On 05/16/2022 @ 10:30 AM, LPA Cohen conducted an unannounced visit for the purpose of delivering the finding against alleged complaint reported concerning the above preschool. Upon arrival, LPA Cohen observed eight adults providing care for 85 children. LPA Cohen met with preschool owner/Administrator,
Ms. Gunasekara Harshi. After conducting multiple interviews with 10 staff members (written declarations obtained) and verbal interviews with two parents of children currently enrolled, the following conclusion has been reached: Unsubstantiated - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

On 03/07/2022 @ 9:30 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the preschool director concerning the above-mentioned allegation and to perform an investigation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
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 30-CC-20220301094559
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PALOS VERDES MONTESSORI ACADEMY
FACILITY NUMBER: 197419681
VISIT DATE: 05/16/2022
NARRATIVE
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Upon arrival, LPA Cohen observed eight adults providing care for 87 children. LPA Cohen met with preschool director, Ofelia Watanabe.

LPA acquired the following documentation:
*Children Roster and Staff Roster for week of 01/24/22, 02/07/22, and 02/21/22
*Emergency ID of Transitional Kindergarten classroom students
LPA interviewed and obtained written declaration from eight staff members including preschool director; however, further witnesses and documentation will be needed to conclude the investigation.

The investigation regarding the above allegations has been completed. No deficiencies will be issued.
An exit interview was conducted with the above items discussed with Ms. Harshi. A copy of this report was provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2