198019047-9-22-2021-33-CC-CGUA-C7DN4A-20211001100737

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019047
Report Date: 09/22/2021
Date Signed: 09/22/2021 03:47:28 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, 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
07/21/2021 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20210721162735

FACILITY NAME:	DIAMOND BAR MONTESSORI ACADEMY		FACILITY NUMBER:	198019047
ADMINISTRATOR:	GUNASEKARA, HISSANKA S.		FACILITY TYPE:	850
ADDRESS:	23555 PALOMINO DR		TELEPHONE:	(909) 396-8747
CITY:	DIAMOND BAR	STATE: CA	ZIP CODE:	91765
CAPACITY:	118	CENSUS: 100	DATE:	09/22/2021
		UNANNOUNCED	TIME BEGAN:	11:46 AM
MET WITH:	Hedi Mnekrios		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility did not inform parent of an incident.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Hedi Mnekrios.

During the investigation LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegation.

The complaint alleges that the facility did not inform a parent of a child in care of an incident that occurred at the facility. The complaint specified that Staff#1 told the parent that the Director of the facility did not want this incident reported to the parent. The facility denied this allegation and made no disclosure. The Director stated that the parent was notified of the incident by the facility. The Director went on to state that the parent of the child was informed verbally of the incident and was then provided a copy of the incident via ouch report the next day. LPA Lee observed that the section of the ouch report for the parent's signature was blank. The facility stated that the parent refused to sign the report when it was provided by the facility the day after the incident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

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 33-CC-20210721162735

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: DIAMOND BAR MONTESSORI ACADEMY	FACILITY NUMBER: 198019047
	VISIT DATE: 09/22/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During an interview Staff#1 stated that the parent was informed of the incident verbally during pick up time. Staff#1 did not provide any information during the interview that supported the allegation. While it is required by regulation that a facility inform the parent of children in care of incidents that occur at the facility, verbally informing the parent and providing a written report the next day does not violate this requirement.

Although it is still possible that the facility did not inform the parent of child#1 of the incident in the allegation the same day verbally and in written form the next day, there is a lack of evidence to prove that this was the case.

Based on the evidence collected during the investigation, the allegations facility did not inform parent of an incident may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations is found to be unsubstantiated.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Hedi Mnekrios. Appeal rights discussed and explained.

SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2