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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 213000400
Report Date: 05/27/2022
Date Signed: 06/15/2022 04:13:06 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/14/2022 and conducted by Evaluator Haydee R Caliboso
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220314143115
FACILITY NAME:MONTESSORI SCHOOL OF NOVATOFACILITY NUMBER:
213000400
ADMINISTRATOR:YOUNG, SUSAN M.FACILITY TYPE:
850
ADDRESS:1466 SOUTH NOVATO BLVD.TELEPHONE:
(415) 892-2228
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:60CENSUS: 21DATE:
05/27/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Malin GuerreroTIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Staff hit daycare child
2. Daycare child sustained injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/27/22 at 9:10AM, Licensing Program Analyst (LPA) Haydee Caliboso arrived at the facility to conduct a closing complaint investigation in response to the above allegation(s). LPA spoke with the Director, Malin Guerrero. Present during the inspection were 21 children and 7 staff.

Based on LPA's gathered information through interviews with parents and staff, the agency has investigated the complaint allegations above. Staff state the program use Motessori based discipline which are positive redirection discipline and verbal, and posiitve role modeling conflict. Staff state threatening or harming a child, verbally or physically is never tolerated. 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 in UNSUBSTANTIATED.

Appeal Rights were provided to the facility. This report and rights to comment and appeal have been discussed. A Notice of Site Visit was posted during this inspection.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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