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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198010716
Report Date: 07/11/2023
Date Signed: 07/13/2023 10:55:53 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Cynthia Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230413130049
FACILITY NAME:MONTESSORI ACADEMY OF WEST COVINAFACILITY NUMBER:
198010716
ADMINISTRATOR:ZAFIRA FIRDOSYFACILITY TYPE:
850
ADDRESS:1030 E. MERCED AVENUETELEPHONE:
(626) 917-0767
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY:159CENSUS: 82DATE:
07/11/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Aysegul Inceoglu, DirectorTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Personal Rights: Staff engaged in a physical altercation in front of day care child.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced site inspection to present the findings of the above complaint allegations. LPA met with Aysegul Inceoglu, Director, who the complaint was gone over and a tour of the facility and census of the staff and children were taken.

During the course of this investigation, LPA conducted Interviews, received and reviewed documents as well as obtained declarations and LPA own observations. Complainant is a third party with only the information provided and LPA was unable to interview any other witnesses to obtain detailed information to have a differnt finding.

Personal Rights: Staff engaged in a physical altercation in front of day care child. Per interviews conducted and declarations obtained, it was stated that around August 2022, staff #1 was asked to bring a child to the office by the Director and staff #2, who was the teacher in that child's classroom, did not like that staff #1 was taking the child and pulled the child's hand out of staff #1 hand and when doing that staff #1 hand flew and hit a door and staff #2 yelled at staff #1 and did all that in front of the child.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
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 7
Control Number 33-CC-20230413130049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTESSORI ACADEMY OF WEST COVINA
FACILITY NUMBER: 198010716
VISIT DATE: 07/11/2023
NARRATIVE
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Page 2

Based on LPA interviews conducted and documents reviewed and received, the preponderance of evidence standard has been meet, therefore the above allegation is found to be SUBSTANTIATED at this time. California Code of Regulations, 101223(a)(1)(2)(3)—Personal Rights--To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning is being cited on the attached LIC 9099D.

LPA Reyes informed the Director, Aysegul Inceoglu that this report dated 07/11/2023 document(s) 1 Type A citation. Type A citation shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

LPA Reyes informed the Director, Aysegul Inceoglu to provide a copy of this licensing report dated 07/11/2023 that documents 1 Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.

A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Director, Aysegul Inceoglu.


REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 33-CC-20230413130049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI ACADEMY OF WEST COVINA
FACILITY NUMBER: 198010716
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2023
Section Cited
CCR
101223(a)(1)(2)(3)
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Personal Rights--To be accorded dignity in his/her personal relationships with staff and other persons. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.To be free from corporal or unusual punishment, infliction of pain, humiliation,
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Per the Director she will have all staff review the departments website video regarding children personnel rights and will have each staff write a statment on what they learned from the video and have them sign and date. (Name: Full signatiure and printed)
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intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, etc...This requirement was not met as evidenced by, around August 2022, staff #2 pulled a child's hand out of staff #1 hand and when doing that staff #1 hand flew and hit a door and staff #2 yelled at staff #1 in front of a child.
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:Each staff must complete by July 21, 2023, and Director will submit all by July 24, 2023.
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Cynthia Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230413130049

FACILITY NAME:MONTESSORI ACADEMY OF WEST COVINAFACILITY NUMBER:
198010716
ADMINISTRATOR:ZAFIRA FIRDOSYFACILITY TYPE:
850
ADDRESS:1030 E. MERCED AVENUETELEPHONE:
(626) 917-0767
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY:159CENSUS: 82DATE:
07/11/2023
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Aysegul Inceoglu, DirectorTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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2
3
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9
Personal Rights: Staff spoke inappropriately to day care children.
Personal Rights: Staff did not provide adequate supervision to day care children.
Reporting Requirements: Facility did not follow reporting requirements.
Other: Staff are not properly trained.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced site inspection to present the findings of the above complaint allegations. LPA met with Aysegul Inceoglu, Director, who the complaint was gone over and a tour of the facility and census of the staff and children were taken.

During the course of this investigation, LPA conducted Interviews, received and reviewed documents as well as obtained declarations and LPA own observations. Complainant is a third party with only the information provided and LPA was unable to interview any other witnesses to obtain detailed information to have a different findings.

Personal Rights: Staff spoke inappropriately to day care children. Per interview and declarations from several staff members, it was stated that no staff has ever spoke inappropriately to a child and only raise their voice when it is load or to get all the children's attention, but not in a hurtful or inappropriate manner.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 33-CC-20230413130049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTESSORI ACADEMY OF WEST COVINA
FACILITY NUMBER: 198010716
VISIT DATE: 07/11/2023
NARRATIVE
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Page 2

Personal Rights: Staff did not provide adequate supervision to day care children. Per interviews and declarations from several staff members, their were no disclosures of any staff members not attending to children due to being on their personal telephone.

Reporting Requirements: Facility did not follow reporting requirements. Per complainant, 5 to 8 kids were out with the stomach bug, however per documents reviewed and received from the facility their was children with the stomach flu however their was not an outbreak to report. Children had the stomach flu at different time periods and not 2 or more at the same time. LPA obtained records of children who were ill and when.

Other: Staff are not properly trained: Per interviews and declarations from several staff members, their were no disclosures of any staff members not being properly trained. Most staff stated they were trained by job shadowing and the Montessori job aids.

Based on interviews, record review and received and observation, the above allegations are deemed UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted, and a copy of this report was provided to Director, Aysegul Inceoglu, along with the Notice of Site Visit and Appeal Rights.




REPORT END 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 7