304371173-7-7-2025-06-CC-NKTN-DJFT6V-20250710142742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371173
Report Date: 07/07/2025
Date Signed: 07/07/2025 04:04:06 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
05/09/2025 and conducted by Evaluator Karen Navar

COMPLAINT CONTROL NUMBER: 06-CC-20250509150928

FACILITY NAME:	CHAPMAN MONTESSORI SCHOOL		FACILITY NUMBER:	304371173
ADMINISTRATOR:	DAHANAYAKE, NILMINI		FACILITY TYPE:	850
ADDRESS:	11832 EUCLID AVE		TELEPHONE:	(800) 587-0725
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92840
CAPACITY:	48	CENSUS: 14	DATE:	07/07/2025
		UNANNOUNCED	TIME BEGAN:	03:18 PM
MET WITH:	Supervisor-Payal, Jain		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Child sustained injuries at child care center. Staff had no knowledge of how the injury occurred.

INVESTIGATION FINDINGS:

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On 7/07/2025, Licensing Program Analysts (LPAs), K. Navar and K. Trinh conducted an unannounced complaint inspection for the purpose of delivering findings. This is a continuation of a complaint inspection initiated on 5/16/2025. Upon arrival LPA met with Supervisor Payal, Jain and was led on a tour of the facility both inside and outside. During inspection LPA took census and observed a total of 14 preschool children along with 2 staff.

A review of the Facility Report Summary on this date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today’s inspection the facility was operating within its licensed capacity and within compliance of staffing ratios.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025

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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Control Number 06-CC-20250509150928

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHAPMAN MONTESSORI SCHOOL	FACILITY NUMBER: 304371173
	VISIT DATE: 07/07/2025

NARRATIVE

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On 05/09/2025, the Orange County Child Care Office received a complaint alleging: Child sustained injuries at childcare center. Staff had no knowledge of how the injury occurred. Reporting Party (RP) stated Child #1 (C1) mouth was bleeding, a scratched lip, and a chunk of gum was torn, and the root of the tooth was exposed.

During the investigation, LPA toured the facility on 5/16/2025 and 6/06/2025, conducted interviews, obtained a copy of Personnel Roster, Child Care Facility Roster, Month of May Attendance Sheet, Copy of Montessori School-Accident Report, Chapman Montessori School Employee Handbook/Personnel Policies. LPA attempted to interview 4 (four) children. 4 (four) of 4 (four) children did not qualify for interview.

During facility inspections on 5/15/2025 and 5/19/2025, LPA toured facility and inspected classrooms and observed staff supervising and participating in classroom activities with children. LPA interviewed 4 (four) staff (S1-S4) who stated that they check the children at morning drop off time for any injuries or illnesses and if an injury happens while the child is in care, staff will complete an accident report and provide a copy of the accident report to parents at the end of the day. All 4 (four) staff stated that if an injury is above the neck or serious they will call the parents so that they are aware of the injury. 3 (three) staff stated that they knew of a concern regarding C1 being signed out of school on 5/08/2025 and then S2 stated that about 3 minutes had passed, and Parent #1 (P1) had brought C1 back into and questioned 2 staff why C1’s mouth was bleeding. 2 (two) staff stated they had told P1 that C1 had a good day, ate well, slept well, and never showed signs of injury or brought to their attention any injury to the mouth area and that they would look into the matter. 1 (one) staff stated that when they had asked S2-S4 if they seen any signs or witnessed any injuries to C1`’s mouth during care, they stated that C1 had a good day, ate well, and slept well and they did not witness any injuries to C1’s mouth.

During parent interviews. LPA called 6 parents, and LPA was able to interview 2 parents. 1 interviewed parent did not divulge any information pertaining to the allegation. LPA interviewed P1 who stated they had picked up C1 from day care and was putting C1 into the car and noticed a little bit of blood on C1’s lip and that they could see the gum area was torn off around the tooth, so they went back into the school to ask staff what had happened, and they did not know.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20250509150928

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHAPMAN MONTESSORI SCHOOL	FACILITY NUMBER: 304371173
	VISIT DATE: 07/07/2025

NARRATIVE

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Based on LPA observations, interviews, and records review; the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations of; Child sustained injuries at childcare center and staff had no knowledge of how the injury occurred did or did not happen; therefore, the allegation is UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with Supervisor Payal, Jain. The Supervisor was informed that the “Notice of Site Visit” must be posted on or adjacent to the door for 30 days. Failure to post will result in a Civil Penalty of a $100.00.

End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Karen Navar
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025

LIC9099 (FAS) - (06/04)

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