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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370999
Report Date: 07/07/2021
Date Signed: 07/07/2021 01:07:34 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/29/2021 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20210629093039
FACILITY NAME:EARLY CHILDHOOD MONTESSORI PRESCHOOL, INC.FACILITY NUMBER:
304370999
ADMINISTRATOR:FERNANDO, MADHURIFACILITY TYPE:
850
ADDRESS:2237 NORTH ORANGE-OLIVE ROADTELEPHONE:
(714) 202-5311
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY:40CENSUS: 20DATE:
07/07/2021
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Madhuri Fernando, DirectorTIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Staff are not wearing PPE.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mila Quinto conducted an unannounced investigation to the daycare center regarding the above complaint allegation. LPA met with director, Madhuri Fernando and discussed the purpose of the investigation. There was a total of 4 staff and 20 preschool children in care.

A review of the Facility Personnel Report Summary on 07/07/21 indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The complainant alleged the staff were not wearing PPE.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
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 3
Control Number 06-CC-20210629093039
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: EARLY CHILDHOOD MONTESSORI PRESCHOOL, INC.
FACILITY NUMBER: 304370999
VISIT DATE: 07/07/2021
NARRATIVE
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During today’s investigation, LPA interviewed 3 staff members and 3 children in care. At 9:30am, during the tour of the facility with director, LPA observed all staff and children in care inside the facility and in the playground were not wearing face coverings. The 3 staff members interviewed stated the staff are given the option to wear a mask. The 2 of 3 staff interviewed stated wearing a mask have affected the developmental stage of the children in care. The 2 of 3 children interviewed stated they do not wear a mask in the facility. 1 of the 3 children interviewed was nonverbal. A copy of the recent Provider Information Notice (PIN) 21-18, Updated Coronavirus 2019 (COVID-19) Industry Guidance for Child Care Settings and CDPH Guidance for Child Care Providers and Programs was provided to director.

Based on the gathered information from interviewing 3 staff members, 3 children in care and recent PIN 21-18, Updated Coronavirus 2019 Industry Guidance for Child Care Settings, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 1, 101223 Personal Rights (a)(2) is being cited on the attached LIC9099D.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Director was informed the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20210629093039
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: EARLY CHILDHOOD MONTESSORI PRESCHOOL, INC.
FACILITY NUMBER: 304370999
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/09/2021
Section Cited
CCR
101223(a)(2)
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101223(a) The licensee shall ensure that each child is accorded the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations...
This requirement is not met as evidenced by:
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The director stated she will follow the recent guideline, PIN 21-18, The Child Care Industry Guidance UPDATED June 29, 2021 and she will submit a declation in writing in incorporating the The Child Care Industry Guidance by due date.
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Based on observation and interviews with 3 staff members and 3 children, the facility failed to follow the COVID-19 guidance based on recent PIN 21-18 in wearing face coverings.
This is a potential health risk 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: Rina Lopez
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3