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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270699
Report Date: 10/27/2023
Date Signed: 10/27/2023 02:53:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/26/2023 and conducted by Evaluator Giselle Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230926093356
FACILITY NAME:CYPRESS MONTESSORI ACADEMYFACILITY NUMBER:
304270699
ADMINISTRATOR:DAVIS, DANAFACILITY TYPE:
850
ADDRESS:8622 LA SALLETELEPHONE:
(714) 826-0800
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY:33CENSUS: 20DATE:
10/27/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director Rebecca RuizTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Staff handled day care child in a rough manner.
Staff yelled at day care child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 10/02/2023. Upon arrival LPA met with Director Rebecca Ruiz. Director guided LPA on a tour of the facility. At 2:30 PM LPA observed a total of 20 preschool children with 3 staff.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 09/26/2023 alleging (1) Staff handled day care child in a rough manner and (2) staff yelled at day care child. Reporting Party (RP) stated when RP was dropping off RP’s child, RP observed staff #2 (S2) yelling at a child saying, “Don’t do that!” and grabbing the child’s wrist aggressively and telling the child to stay in place.
(continue to page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
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 4
Control Number 06-CC-20230926093356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CYPRESS MONTESSORI ACADEMY
FACILITY NUMBER: 304270699
VISIT DATE: 10/27/2023
NARRATIVE
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 (Page 2)
RP stated Staff #4 (S4) walked past the incident and did not interfere in the incident.

During the investigation LPA Lucero interviewed 4 staff members, 4 children, 5 parents, and reviewed the children’s roster.

During the investigation on 10/02/2023, LPA Lucero interviewed 4 staff. 4 out of 4 staff stated they have not observed staff yelling or handle a child in a rough manner. Staff #4 (S4) disclosed staff do not yell at the children but sometimes staff talk firmly to children.

On 10/02/2023, LPA Lucero interviewed 4 children. Child #1 (C1) stated staff do not yell at children or has never seen a teacher grab another child in a rough manner. Child #2 (C2) disclosed observing S4 yell at a child telling the child to go back to their desk and grabbing the child in a rough manner. Child #3 (C3) disclosed observing Staff #3 (S3) yelling at a child. C3 declined observing a staff grab children in a rough manner. Child #4 (C4) disclosed observing a staff yell at a child. C4 declined observing a staff grab children in a rough manner.

On 10/23/2023 LPA attempted to interview 7 parents, however only 5 parents were available for interview. All of the parents interviewed are satisfied with the childcare facility, and do not have any concerns.

Based on LPA’s interviews conducted with 4 staff, 4 children, and 5 parents, it has been determined (1) staff handle day care child in a rough manner and (2) staff yell at day care children. Therefore, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, Title 22, 101223 (a)(3) Personal Rights is being cited on the attached LIC 9099D.

(Continue to page 3)
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20230926093356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CYPRESS MONTESSORI ACADEMY
FACILITY NUMBER: 304270699
VISIT DATE: 10/27/2023
NARRATIVE
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(Page 3)
LPA Giselle Lucero informed Director Rebecca Ruiz, that this report dated 10/27/2023 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Giselle Lucero informed Director Rebecca Ruiz, to provide a copy of this licensing report dated 10/27/2023 that documents any 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 Rebecca Ruiz. 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.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.

End of Report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20230926093356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CYPRESS MONTESSORI ACADEMY
FACILITY NUMBER: 304270699
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/27/2023
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation.... This requirement is not met as evidence by:
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Director stated a staff meeting was held on 10/05/2023 to go over classroom management and positive behavior. Director provided a copy of sign ins with staff in attendance of meeting
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Based on interviews conducted it has been determined staff handle children in a rough manner and staff yell at children. This is an immediate risk to the safety of the children in care.
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LPA will email the Director with link to the website to CCLD video on Personal rights to provide to staff.
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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: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4