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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015235
Report Date: 10/03/2024
Date Signed: 10/03/2024 12:47:59 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
08/15/2024 and conducted by Evaluator Shushanik Safaryan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240815161751
FACILITY NAME:PENNSYLVANIA AVENUE MONTESSORI PRESCHOOLFACILITY NUMBER:
198015235
ADMINISTRATOR:SONDRA WISEFACILITY TYPE:
850
ADDRESS:3966 PENNSYLVANIA AVENUETELEPHONE:
(818) 231-5605
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:56CENSUS: 19DATE:
10/03/2024
UNANNOUNCEDTIME BEGAN:
11:03 AM
MET WITH:Sondra Wise TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility staff handled a day care child(ren) in a rough manner
INVESTIGATION FINDINGS:
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On 10/03/24 ,at 11:00 am , Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced complaint inspection to the above facility. LPA met with Facility Representative, Sondra Wise. The purpose of the visit was explained to the representative, who then guided LPA on a tour of the facility. At the time of the inspection, there were 19 children present with 3 staff members.

Complaint alleged: Facility staff handled a day care child(ren) in a rough manner.
During the investigation, the Licensing Program Analyst (LPA) interviewed the Director, three staff members, five children, and a parent. It was revealed during the interviews that child C1 would go under the table when feeling sad. Staff member S1 admitted to pulling C1 from under the table by her hand. S1 disclosed that the incident occurred during snack time when the children were seated around the table to eat their snacks and C1 went under the table. According to S1, she tried various ways to convince C1 to come out and eventually had to pull her from under the table by her hand to prevent other children from accidentally hitting C1 with their feet. S1 stated that it was not her intention to bruise the child's hand.
Page 1 of 2

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
08/15/2024 and conducted by Evaluator Shushanik Safaryan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240815161751

FACILITY NAME:PENNSYLVANIA AVENUE MONTESSORI PRESCHOOLFACILITY NUMBER:
198015235
ADMINISTRATOR:SONDRA WISEFACILITY TYPE:
850
ADDRESS:3966 PENNSYLVANIA AVENUETELEPHONE:
(818) 231-5605
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:56CENSUS: 19DATE:
10/03/2024
UNANNOUNCEDTIME BEGAN:
11:03 AM
MET WITH:Sondra Wise TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility staff speaks inappropriately to day care child(ren)
INVESTIGATION FINDINGS:
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On 10/03/24, at 11:00 am , Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced complaint inspection to the above facility. LPA met with Facility Representative, Sondra Wise. The purpose of the visit was explained to the representative, who then guided LPA on a tour of the facility. At the time of the inspection, there were 19 children present with 3 staff members.

Complaint Alleged: Facility staff speaks inappropriately to day care child(ren).
During the investigation, LPA interviewed Director, three staff members, five children, one parent. During the investigation, four children disclosed S2 is their favorite teacher, and no disclosures were made regarding allegation above. Per Director, she never observed staff speaking inappropriately to children. During the staff interviews no disclosures were made regarding allegation above. Per parent, no concerns regarding teacher`s in the class.

Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20240815161751
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PENNSYLVANIA AVENUE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198015235
VISIT DATE: 10/03/2024
NARRATIVE
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Based on the investigation, 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 the allegation is unsubstantiated.

An exit Interview was conducted, copy of this report along with Notice of Site visit and Appeal Rights were explained and provided to the Facility Representative, Sondra Wise on 10/03/24 .

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20240815161751
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PENNSYLVANIA AVENUE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198015235
VISIT DATE: 10/03/2024
NARRATIVE
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The Director mentioned that the facility has cameras in each room, but due to limited space on the hard drive, it only captures a certain amount of time and did not save the footage from the day or week when the incident occurred.

Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099D.

The LPA advised the facility representative of the following: A copy of this licensing report dated 10/03/24, which documents a Type A citation, must be posted for 30 days, and is required to be provided to the parents/guardians of all currently enrolled children by the next business day or the next day the children are in care. Additionally, a copy of this report is required to be provided 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 another written statement, must be placed in the child's file as verification of receipt (Health and Safety Code 1596.8595).

An exit Interview was conducted, copy of this report along with Notice of Site visit, Deficiency page and Appeal Rights were explained and provided to the Facility Representative, Sondra Wise on 10/03/24 .

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Page 2 of 2
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20240815161751
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PENNSYLVANIA AVENUE MONTESSORI PRESCHOOL
FACILITY NUMBER: 198015235
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/04/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. This requirement is not met evidenced by: pulled C1 from under the table leaving a bruise on C1 hand.
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Licensee stated she will send a written plan how the facility will handle children with chalenging behaviours and she will meet with the staff to review children`s personal rights , how to handle chalenging behaviours . Licensee stated she will send meeting agenda with the written plan to LPA by POC date .
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S1 admitted pulling C1 from under the table leaving a bruise on C1 hand.
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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: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5