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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019873
Report Date: 11/20/2025
Date Signed: 11/20/2025 01:08:37 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
09/29/2025 and conducted by Evaluator Stephanie Li
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250929134712

FACILITY NAME:ENCHANTED CASTLE SAN MARINO MONTESSORI SCHOOLFACILITY NUMBER:
198019873
ADMINISTRATOR:JESSICA CHANGFACILITY TYPE:
850
ADDRESS:444 & 464 S. SIERRA MADRETELEPHONE:
(626) 577-8007
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:178CENSUS: 137DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director Parima MadanTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Staff leaves day care children unattended on the changing table.
Staff do not practice proper hand washing procedures.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced site inspection to present the findings of the above complaint allegation. Licensing staff met with Director Parima Madan, to whom the reason for the visit was explained. Director provided LPA on a tour of the facility. Present during the inspection was 137 children and 24 staff.

During the investigation Licensing staff conducted interview with director, current and previous staff. Licensing staff also obtained several documents related to the complaint allegation, including but not limited to, a copy of the Facility Roster, Incident and Ouch reports from facility, parent handbook, and employee policies and procedures and staff responsibilities. Security video recordings were also reviewed during this investigation. Staff and children’s files were also reviewed during this investigation.

*continued on next page...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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-20250929134712
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: ENCHANTED CASTLE SAN MARINO MONTESSORI SCHOOL
FACILITY NUMBER: 198019873
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/21/2025
Section Cited
CCR
101428(d)(1)(a)
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Infant Care Personal Services...(1) Each infant shall be diapered on a changing table. (A) No infant shall be left unattended while on a changing table.

This requirement was not met evidenced by:
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Per director, she will have a staff meeting to discuss the severity of it and have staff sign in. Director will place reminder posters with guidance near changing table for visual reminder. Per director, she terminated one employee that she was aware who was doing this.
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Based on interviews, staff was observed to leave child unattended while on changing table, which poses an immediate risk to the health and safety of children in care.
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 Per director, she will submit staff meeting agenda and staff sign to LPA S Li by 12/10/25.
Type B
11/21/2025
Section Cited
CCR
101438.1(b)
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Infant Care General Sanitation... (b) Each caregiver shall wash his/her hands with soap and water before each feeding and after each diaper change.

This requirement was not evidenced by:
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Per director, she will review requirements in staff meeting. She has already placed hand washing reminder signs in classrooms with diapering. LPA observed hand washing signs in classrooms above sink during visit.
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Based on interviews, staff was observed to not wash hands before serving snack and after diaper changes, which poses a potential risk to the health and safety to children in care.
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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: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20250929134712
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: ENCHANTED CASTLE SAN MARINO MONTESSORI SCHOOL
FACILITY NUMBER: 198019873
VISIT DATE: 11/20/2025
NARRATIVE
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Based on statements obtained from interviews, disclosures were made regarding staff leaving day care children unattended on the changing table and regarding staff not practicing proper hand washing procedures, corroborating the allegation, therefore, the above allegation is deemed SUBSTANTIATED. California Code of Regulations, Title 22 are being cited on the attached LIC9099D.

Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

One (1) Type A - A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

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

Exit interview and report was reviewed with and appeal rights provided with Director Parima Madan.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5