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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197420015
Report Date: 07/23/2021
Date Signed: 07/23/2021 11:30:18 AM

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
05/18/2021 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210518141644
FACILITY NAME:MONTESSORI WOODLAND HILLSFACILITY NUMBER:
197420015
ADMINISTRATOR:ZOHRA BAREKZAIFACILITY TYPE:
850
ADDRESS:6104 FALLBROOK AVENUETELEPHONE:
(818) 340-4404
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:54CENSUS: 27DATE:
07/23/2021
UNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:Darlene CabreraTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff do not properly supervise the daycare children while in care
Daycare child had access to a harmful item
Daycare child developed a rash while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Laticia Thompson made an unannounced inspection to the Montessori Woodland Hills (CCC) on 7/23/2021 for the purpose of concluding the investigation on the above allegations and to deliver the findings. Upon arrival LPA observed 8 infants supervised by 2 staff members and 19 preschoolers supervised by 2 staff members. LPA met with Darlene Cabrera (Director) and together discussed the investigation details.

Based on the interviews conducted during the investigation process and statements obtained during the investigation process, the allegations cannot be substantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Darlene Cabrera in which a copy of this report and a Notice of Site Visit were issued to her on 07/23/2021.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021
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-20210518141644
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: MONTESSORI WOODLAND HILLS
FACILITY NUMBER: 197420015
VISIT DATE: 07/23/2021
NARRATIVE
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The director was advised that the Notice of Site Visit and a copy of this report must be posted at the entrance of the facility for a period of 30 days.
In addition; A copy of this report must be provided to a parent of authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months.

The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2