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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419681
Report Date: 04/29/2025
Date Signed: 08/08/2025 12:06:59 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
04/25/2025 and conducted by Evaluator Devon Carus
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20250425173218
FACILITY NAME:PALOS VERDES MONTESSORI ACADEMYFACILITY NUMBER:
197419681
ADMINISTRATOR:MARISSA MABINIFACILITY TYPE:
850
ADDRESS:28451 INDIAN PEAK ROADTELEPHONE:
(310) 541-2405
CITY:RANCHOS PALOS VERDESSTATE: CAZIP CODE:
90274
CAPACITY:98CENSUS: 58DATE:
04/29/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nimmi Weerasinghe, Assistant DirectorTIME COMPLETED:
04:25 PM
ALLEGATION(S):
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Staff are operating over ratio
INVESTIGATION FINDINGS:
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** This report was amended to correct a clerical error on the LIC 9099-D page of this report**

On 4/29/2025, at 9:00AM Licensing Program Analyst (LPA) Devon Carus, conducted a complaint initial visit regarding the above-mentioned allegation. Upon arrival LPA was let into the facility by Adult #1, and soon after met with Nimmi Weerasinghe, Assistant Director. LPA explained the purpose of the inspection. LPA observed 67 children in care.

Based on LPA observations, the pre school room that housed the 3-4 year olds was observed with 19 children being supervised by Staff #3. LPA was in the classroom approximately 2 minutes before Staff #4 came to the classroom to supervise. Staff #6 informed LPA that she was initially in the classroom before she left to greet the LPA upon arrival. When LPA asked for the director, LPA was informed by the assistant director that the director is no longer employed at the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Devon Carus
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
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 3
Control Number 30-CC-20250425173218
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PALOS VERDES MONTESSORI ACADEMY
FACILITY NUMBER: 197419681
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
05/09/2025
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...
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Assistant Director will watch a video on Personal Rights https://ccld.childcarevideos.org/family-child-care-providers/ no later than 5/9/2025. Licensee will hold an All Staff meeting to discuss personal rights & send a written statement of attendees & discussion due by 5/9/2025.
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This requirement is not met as evidenced by:

LPA observed 1 staff member supervising 19 pre school children. This is a health & safety risk for children in care and a TYPE A violation.
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Licensee, is required to take the online Operation & Record Keeping & submit the certificate no later than 5/9/2025. Licensee will be referred to the Technical Support Program.
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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: Maureen Neal
LICENSING EVALUATOR NAME: Devon Carus
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20250425173218
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PALOS VERDES MONTESSORI ACADEMY
FACILITY NUMBER: 197419681
VISIT DATE: 04/29/2025
NARRATIVE
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Based on the evidence & information obtained during the investigation, which included interviews with relevant parties, & observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated.

1 Type-A Violation will be cited today.

Licensee must comply with AB 633 as follows: Upon receipt by the licensee, licensee is to provide to parents/guardians the following: Copies of any licensing reports that document a Type A citation - this includes facility visits and substantiated complaint investigations; copies of licensing documents pertaining to a conference conducted by a local licensing agency management representative and the licensee of this child care center in which issues of noncompliance are discussed and/or copies of a summary of an accusation indicating the Department's intent to revoke the facility's license.
Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of children currently enrolled and any newly enrolled child at the facility for the next 12 months. LIC 9224 must have the signature of child's authorized representative and kept in the child's file.

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Devon Carus
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3