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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371441
Report Date: 04/11/2024
Date Signed: 04/11/2024 10:59:10 AM

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
01/29/2024 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240129130651
FACILITY NAME:ACACIA MONTESSORI SCHOOLFACILITY NUMBER:
304371441
ADMINISTRATOR:CHUNG, SUNFACILITY TYPE:
850
ADDRESS:1701 EAST CHAPMAN AVENUETELEPHONE:
(714) 526-7855
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY:54CENSUS: 22DATE:
04/11/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chung, Sun Director TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Child yelled at to go to sleep and stay on bed.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. This is a continuation of the investigation initiated on 1/31/24, LPA met with Director, Sun Chung and informed the director of the purpose of the visit. The director guided LPA on a tour of the facility and a census was taken. The overall census observed was 4 preschool staff and 22 preschool children.
A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 1/29/24 a complaint was filed with the Licensing office stating Child yelled at to go to sleep and stay on bed. Reporting Party (RP) stated, teachers have yelled at children to stay on their beds during nap time.

Page 1 of 3.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
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 7
Control Number 06-CC-20240129130651
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: ACACIA MONTESSORI SCHOOL
FACILITY NUMBER: 304371441
VISIT DATE: 04/11/2024
NARRATIVE
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During the course of investigation, LPA interviewed 8 staff members, 4 children and 4 parents, and reviewed records.

LPA interviewed 8 staff, during the staff interviews, 3 out of 8 staff disclosed they have witnessed staff yelled at child to go to sleep and stay on bed. Staff 4 (S4) stated, “I heard S5 last week, said to the children, stay on your bed or go back to your bed. S5 is yelling sometimes and sometimes saying it in a firm voice.” S6 stated, “Yes I have witnessed it in the preschool class. S5 has yelled to the children to stay on their bed. S1 and S2 yell at the children to stay on their bed too” S7 stated, “Yes, I have heard S1 and S5 a couple of times. Sometimes it's reminding but sometimes it's in a rude way. S1 and S5 tell the children to go to sleep and stay on their beds. Sometimes they will provide something like a book or sometimes the kids are just lying on their bed.”

LPA Duron interviewed 4 parents. 4 out of 4 parents did not have any concern with the facility.

Based on LPA’s interviews, the preponderance of evidence standard has been met, therefore the above allegation has found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 101223 Personal Rights (a)(1). Please refer to attached 9099D for documentation of deficiencies.



9090D: 101223 Personal Rights(a)(1) The licensee shall ensure that each child is to be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidence by: based on LPA’s interviews, LPA interviewed 8 staff, during the staff interviews, 3 out of 8 staff disclosed they have witnessed staff yelled at child to go to sleep and stay on bed. This poses an immediate health risk to the children in care.

LPA Duron informed Director, Sun report dated 4/11/24 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. LPA Duron informed the Director to provide a copy of this licensing report dated 4/11/24 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.

Page 2 of 3.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20240129130651
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: ACACIA MONTESSORI SCHOOL
FACILITY NUMBER: 304371441
VISIT DATE: 04/11/2024
NARRATIVE
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An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

Page 3 of 3. End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 06-CC-20240129130651
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: ACACIA MONTESSORI SCHOOL
FACILITY NUMBER: 304371441
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/11/2024
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights(a)(1) The licensee shall ensure that each child is
to be accorded dignity in his/her personal relationships with staff and other persons.
This requirement is not met as evidence by:
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Director provided a written statement to LPA stating staff attended training: Challenging Behavior: Positive Guidance in Child Care A distance learning Care course for Early Childhood Professionals on 3/4/24. Director will provide a sign in sheet with staff signatures whon attended the course to LPA by 4/19/24
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Based on LPA’s interviews, LPA interviewed 8 staff, during the staff interviews, 3 out of 8 staff disclosed they have witnessed staff yelled at child to go to sleep and stay on bed. Which poses an immediate health risk to the 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: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 7
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
01/29/2024 and conducted by Evaluator Patricia Duron
COMPLAINT CONTROL NUMBER: 06-CC-20240129130651

FACILITY NAME:ACACIA MONTESSORI SCHOOLFACILITY NUMBER:
304371441
ADMINISTRATOR:CHUNG, SUNFACILITY TYPE:
850
ADDRESS:1701 EAST CHAPMAN AVENUETELEPHONE:
(714) 526-7855
CITY:FULLERTONSTATE: CAZIP CODE:
92831
CAPACITY:54CENSUS: 22DATE:
04/11/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chung, Sun Director TIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child was refused water.
Child removed from their classroom to an older classroom as a form of discipline
Child being told to say something that has not happened
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. This is a continuation of the investigation initiated on 1/31/24. LPA met with Director, Sun Chung and informed the director of the purpose of the visit. The director guided LPA on a tour of the facility and a census was taken. The overall census observed was 4 staff and 22 children.
A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 1/29/24 a complaint was filed with the Licensing office alleging (1) Child was refused water (2) Child removed from their classroom to an older classroom as a form of discipline (3) Child being told to say something that has not happened. Reporting Party (RP) stated child was crying for water, RP stated child said S1 would not give child water. The RP stated that S8 will take children to the office and then tell children to say they were in the classroom when other teachers ask them where they were. Another child is 2 years old and being taken to 3-year-old classroom as a form of discipline. Page 1 of 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 06-CC-20240129130651
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: ACACIA MONTESSORI SCHOOL
FACILITY NUMBER: 304371441
VISIT DATE: 04/11/2024
NARRATIVE
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During the course of investigation, LPA interviewed 8 staff members, 4 children and 4 parents, and reviewed records.

Regarding allegations (1) Child was refused water

LPA interviewed 8 staff members, 8 out of 8 staff stated they have not witnessed a staff member deny or refuse a child water. Staff 1 (S1) stated “The children can get their water bottle from the basket, sometimes it's on the carpet or on the low shelf, The children have access, and can reach them. Staff re-fill water bottles, classroom has a filter on sink to re-fill the bottles.” S6 stated,” I've heard S1 tell children, you already had some, or tell the children not to play with it because they play with the water. But S1 doesn't deny it to them, the children still drink the water.” S8 stated, “Not with water, S1 tells the children to use their water bottle. The children are used to their sippy cups. The director sends letters to parents to transition from infant room to the 2-year room, so sometimes the children are having a hard time, and the children cry for their milk bottle and sippy cups. S1 doesn’t tell them they can’t have water but sometimes the children have a hard time because of change from bottles to water bottle.“

Regarding allegations (2) Child removed from their classroom to an older classroom as a form of discipline.

LPA interviewed 8 staff members. S1 stated, “only 1 child because of ratio. As long as one staff have 12, and sometimes for nap time and sometimes if a child is having a hard time, they will go next door, so staff can help S1. S5 stated, “Yes for ratio reasons, staff have to juggle children for ratio reasons. When children transition to the next room. Staff work with children to potty train them, so we can move them to the next room. Staff have taken children from 2-year-old room next door to 3-year-old room, staff support each other, S5 will take the child if they are having challenges and help staff.”



Regarding allegations (3) Child being told to say something that has not happened.

LPA interviewed 8 staff members. 8 out of 8 staff have not witnessed a child being told to say something that has not happened.

LPA Duron interviewed 4 children. All 4 interviewed children did not reveal any staff violating their rights.

LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.

Page 2 of 3.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 06-CC-20240129130651
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: ACACIA MONTESSORI SCHOOL
FACILITY NUMBER: 304371441
VISIT DATE: 04/11/2024
NARRATIVE
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Based on the information gathered from LPAs’ interviews, observation, and the reviewing of records, there is insufficient evidence to corroborate the allegations: Child was refused water. Child removed from their classroom to an older classroom as a form of discipline. Child being told to say something that has not happened. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur in the day care facility, therefore the allegations are UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department.



The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

Page 3 of 3. End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7