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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371633
Report Date: 12/18/2024
Date Signed: 12/18/2024 04:39:59 PM

Unsubstantiated


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
11/27/2024 and conducted by Evaluator Mahnaz Malek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20241127073006
FACILITY NAME:ROBIN HOOD MONTESSORI SCHOOLFACILITY NUMBER:
304371633
ADMINISTRATOR:ZARAGOZA, KIANNAFACILITY TYPE:
850
ADDRESS:27500 MARGUERITE PARKWAY # 6TELEPHONE:
(949) 364-6342
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92692
CAPACITY:47CENSUS: 29DATE:
12/18/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:DirectorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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1- The facility is out of ratio
2- The director is not at the facility full time

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a follow up investigation regarding the above allegations. This is a follow up for the visit conducted on 12/2/2024. LPA met with Director, Shelina Suravarapu. LPA observed 12 awake preschool children with 2 staff in Rainbow Room, and 17 awake children with 3 staff in Fulbright Room.
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.
On 11/27/2024, the Orange County Childcare Office received a complaint alleging 1) The facility is out of ratio, 2) The director is not at the facility full time.
The Reporting Party (RP) stated the facility is out of ratio most of the time. It was reported one staff is with 17 to 18 children before the next staff arrives at 9:00 am for both preschool rooms. It was also reported
Continued on page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
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 6
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
11/27/2024 and conducted by Evaluator Mahnaz Malek
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20241127073006

FACILITY NAME:ROBIN HOOD MONTESSORI SCHOOLFACILITY NUMBER:
304371633
ADMINISTRATOR:ZARAGOZA, KIANNAFACILITY TYPE:
850
ADDRESS:27500 MARGUERITE PARKWAY # 6TELEPHONE:
(949) 364-6342
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92692
CAPACITY:47CENSUS: 29DATE:
12/18/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:DirectorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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9
The beddings on the napping mats are stacked on each other and not separated.
INVESTIGATION FINDINGS:
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Page 1 of 2
Licensing Program Analyst (LPA) Mahnaz (Nancy) Malek conducted a follow up investigation regarding the above allegation. This is a follow up for the visit conducted on 12/2/2024. LPA met with Director, Shelina Suravarapu. LPA observed 12 awake preschool children with 2 staff in Rainbow Room, and 17 awake children with 3 staff in Fulbright Room.

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.
On 11/27/2024, the Orange County Childcare Office received a complaint alleging “the beddings on the napping mats are stacked on each other and not separated”. The Reporting Party (RP) sent two pictures stating the beddings on the napping mats are stacked on each other and not separated. One picture sent
Continued on page 2

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20241127073006
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: ROBIN HOOD MONTESSORI SCHOOL
FACILITY NUMBER: 304371633
VISIT DATE: 12/18/2024
NARRATIVE
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on 11/26/2024 and one picture sent on 11/27/2024. The pictures showing the sheets are on each napping mat stacking on each other located on the shelf in the classroom.

During the course of investigation, LPA interviewed 8 staff who worked in preschool and infant programs. LPA contacted 2 other staff over the phone since they were not present on the initial inspection day. LPA also contacted 10 preschool parents randomly. Staff who were interviewed stated the beddings are stored separately and the mats are stacked on each other. Staff did not acknowledge storing the beddings somehow to touch each other. However, two pictures have been sent to show the beddings are touching each other and are not stored separately.

Based on the interviews with 10 staff, viewing pictures sent, and contact with 10 parents of whom 4 parents responded with no concerns regarding the above allegation, it was determined the preponderance of evidence standard has been met, the allegation of " the beddings on the napping mats are stacked on each other and not separated” is found to be SUBSTANTIATED.

California Title 22 Regulations Section 101239.1(c)(2) under Napping Equipment is cited on LIC 9099D next page.
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The director, Shelina Suravarapu was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalty of $100.00. The director, Shelina Suravarapu was provided with a copy of their 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.
The exit interview was conducted with director, Shelina Suravarapu.

End of report
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 06-CC-20241127073006
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: ROBIN HOOD MONTESSORI SCHOOL
FACILITY NUMBER: 304371633
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
12/20/2024
Section Cited
CCR
101239.1(c)92)
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Napping Equipment 101239.1(c)(2)
Bedding shall be individually stored so that each child's bedding is identifiable, and no child's used bedding comes into contact with other bedding. This requirement was not met as evidenced by a complaint report alleging
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The director agreed to send an acknowledgement statement with all the staffs’ signatures that they are aware of this requirement and will comply with this section of the regulations. The acknowledgement statement will be sent to LPA’s email address by the due date of 12/20/2024
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 “the beddings on the napping mats are stacked on each other and not separated” Two pictures sent showing the bedding on the mats are stacking on each other while touching.
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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: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 06-CC-20241127073006
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: ROBIN HOOD MONTESSORI SCHOOL
FACILITY NUMBER: 304371633
VISIT DATE: 12/18/2024
NARRATIVE
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Page 2 of 3

one staff was with 14 awake preschool children in the Rainbow Room on 11/26/2024 between 12:30 to 3:00 pm. The report stated the director is not at the facility full time. The director’s time is from 9 am to 2 pm and the staff don’t have anybody to go to if they have issues.
On the inspection day of 12/2/2024, LPA observed there were 12 preschool children with one staff in one room and 27 napping preschool children with 3 staff in another room. The director was not present. However, the staff in charge was available.

During the course of investigation, LPA interviewed 8 staff who worked in preschool and infant programs. LPA contacted 2 other staff over the phone since they were not present on the initial inspection day. LPA also contacted 10 preschool parents randomly. Children were not interviewed as children are unable to accurately provide time related information regarding the above allegations.
Regarding the allegation of teacher child ratio, LPA interviewed the staff who have worked in preschool program. LPA also interviewed the staff from infant program for additional information. Staff # 1, 2, 3, and 5 stated they pass by the preschool classrooms every day and do not pay attention to the number of preschool children. However, they have observed one or two staff in preschool rooms. According to staff # 6 and staff # 8 they move around the children to keep the teacher to child ratio at all times. The rest of the staff did not acknowledge the facility being out of ratio. LPA was informed substitute agency was called to recruit staff when needed to. LPA reviewed the timecards of staff randomly for the dates of Monday November 25, 2024, Tuesday November 26, 2024, and Wednesday November 27, 2024. LPA reviewed the sign in out sheet for students for those dates as well. LPA calculated the number of staff and number of children for before 9:00 am for those dates. LPA realized there were enough staff present at the facility to cover the number of children. However, it was unknown how many children and how many staff were in each classroom or on the playground at any time of the day. There was no detailed documentation to show this recording accurately.

Based on the interviews with 10 staff, 10 random parents of whom 3 expressed no concerns regarding the teacher to child ratio, one advised the LPA to remain attentive to the teacher to child ratio, and LPA’s observation on 12/2/2024 and today, there is not enough proof or evidence to support the allegation of “the facility is out of ratio” occurred or did not occur.
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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20241127073006
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: ROBIN HOOD MONTESSORI SCHOOL
FACILITY NUMBER: 304371633
VISIT DATE: 12/18/2024
NARRATIVE
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Page 3 of 3

Regarding the allegation of “The director is not at the facility full time”, LPA interviewed the preschool staff. LPA also interviewed the staff from infant program for additional information. Staff # 1 (S1) stated director is not at school every day. S2 stated director was out few days. However, she works before 9:00 am to 3:30 pm every day. S3 stated director is at school majority of time between 8:30 am to 5:30 pm. S4 stated the director works every day before 9:00 am until 5:00 pm. S5 stated not sure about director’s hours. S6 stated the director’s hours are 8:30 am to 4:00 pm. S7 stated director’s hours is from 9:00 am to 3:00 pm. S8 stated director’s hours are from 8:30 am until 4:00 pm or 5 or 6:00 pm. S10 stated the director has an 8-hour shift. The director stated her hours are from 8:30 am to 5:30 pm and is present at school every day. Sometimes she comes early and leaves late. LPA reviewed the timecard for the director for the random dates of 11/25, 11/26, and 11/27. LPA observed the director’s hours were recorded 7:40 am to 5:30 pm on 11/25/2024, 7:45 am to 3:40 pm on 11/26/2024, and 8:15 am to 2:10 pm on 11/27/2024. However, all the staff stated that there is one designated staff to go to when the director is not available. Based on the interviews with 10 staff, 10 random parents of whom 4 expressed no concerns regarding the allegation of “director is not at the facility full time”, and LPA’s observation on 12/2/2024 and today, there is not enough proof or evidence to support the allegation of “The director is not at the facility full time” occurred or did not occur.
This agency has investigated the complaint alleging “1) The facility is out of ratio, 2) The director is not at the facility full time”, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove, the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Notice of Site Visit was posted. The notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
In the areas which were investigated, no deficiency was cited today. The director, Shelina Suravarapu was provided a copy of their appeal rights (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights.
Exit interview was conducted with director, Shelina Suravarapu.

This report ends here.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Mahnaz Malek
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6