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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371605
Report Date: 07/09/2024
Date Signed: 07/10/2024 08:27:28 AM

Substantiated


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
07/03/2024 and conducted by Evaluator Anna Francesca Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240703110319

FACILITY NAME:CHILDREN'S MONTESSORI CENTER OF YORBA LINDAFACILITY NUMBER:
304371605
ADMINISTRATOR:KEMPS, DISHNIFACILITY TYPE:
830
ADDRESS:17550 YORBA LINDA BLVD.TELEPHONE:
(714) 528-0831
CITY:YORBA LINDASTATE: CAZIP CODE:
92886
CAPACITY:12CENSUS: 7DATE:
07/09/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Office Administrator Binbin "Vicky" ZhaoTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility out of ratio
INVESTIGATION FINDINGS:
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On 07/9/24 at 8:40am, Licensing Program Analyst (LPA) Anna Chan made an unannounced visit to facility for the purpose of initiating a complaint that was received by the Regional Office. LPA met infant teacher Jacqueline Hernandez and explained the reason for today's visit upon arrival. Census was taken in the infant classroom. LPA observed 5 infant children and 1 fully qualified teacher. Children were in highchairs having breakfast. Office Administrator, Binbin "Vicky" Zhao arrived around 9:40am to continue with the visit.

A review of the Facility Personnel Report Summary conducted on today’s date indicates 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 07/03/2024 alleging the facility is out of ratio.

(Continue to page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20240703110319
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: CHILDREN'S MONTESSORI CENTER OF YORBA LINDA
FACILITY NUMBER: 304371605
VISIT DATE: 07/09/2024
NARRATIVE
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LPA Observations:
On 07/09/24, during the facility walk through, LPA observed 5 infant children and 1 fully qualified teacher at 8:45am. At 8:50am 2 more children were dropped off and still with one fully qualified teacher. LPA asked a parent who was dropping off a child to stay with the child until another staff arrives. At 9:00am, Staff 2 (S2) arrived and there were 7 infant children and 2 fully qualified teacher.

LPA interviews:
On 07/09/24, LPA interviewed 2 staff, Staff #1 (S1) stated that the facility is sometimes out of ratio. S1 stated they are aware that infant ratio is 4:1 staff. Staff #5 (S5) stated 2 other staff members called off this morning that is why the facility was out of ratio. S5 stated the facility is aware of the number of children in attendance daily.

Based on LPA observation, inspection and interviews conducted with 2 staff, it was determined the facility has operated out of ratio. Therefore, the preponderance of evidence standard has been met, the above allegation is found to be Substantiated. California Code of Regulations, Title 22, 101416.5(b) Staff-Infant Ratio is being cited on the attached LIC 9099D. This is a repeat violation cited on 06/21/24. Civil Penalty assessed.

LPA Chan informed Office Administrator Binbin "Vicky" Zhao, that this report dated 07/09/2024 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed admin to provide a copy of this licensing report dated 07/09/2024 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.

An exit interview was conducted, and the report and deficiency were reviewed with Office Administrator Binbin "Vicky" Zhao. Notice of Site Visit was posted during the visit. The director was informed that the notice of the site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
Appeal Rights was explained. The Licensee was provided a copy of appeal rights (LIC 9058) 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: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20240703110319
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: CHILDREN'S MONTESSORI CENTER OF YORBA LINDA
FACILITY NUMBER: 304371605
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/10/2024
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by:
Based on LPA's observations the infant classroom was out of ratio being 7
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Admin Binbin Zhao stated they are recruiting 4 new staff in order to keep the facility in ratio. Admin Zhao stated if the facility is understaffed, they will call parents to drop off at a later time. A copy of this action plan will be sent to LPA by due date of 7/10/24.
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infants with 1 fully qualified teacher at 8:50am. Based on staff interview, S1 stated they are sometimes out of ratio in the infant room.
This poses an immediate risk to the health, safety or personal rights to persons 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: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC9099 (FAS) - (06/04)
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