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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300575
Report Date: 08/22/2023
Date Signed: 08/22/2023 05:11:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2023 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230724102239
FACILITY NAME:BRIGHT MINDS MONTESSORI,INC.FACILITY NUMBER:
336300575
ADMINISTRATOR:AURORA GONZALEZFACILITY TYPE:
850
ADDRESS:17159 GRAND AVETELEPHONE:
(951) 378-4103
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:12CENSUS: 13DATE:
08/22/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Aurora GonzalezTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff commingles children
Facility is operating out of ratio
INVESTIGATION FINDINGS:
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On August 22, 2023, Licensing Program Analyst (LPA) William Chancellor and Licensing Program Manager (LPM) Pauline Beschorner arrived to the facility listed above unannounced to deliver the findings on a complaint received 7/24/23. LPA and LPM met with Director Aurora Gonzalez and Licensee Nam De Silva to deliver the findings, took a tour of the facility and took census. During today’s inspection, thirteen preschool children were present and proper ratios were not being followed.
On July 28, 2023, LPA Chancellor entered the building at 8:05AM and witnessed three school aged children granting entry to all the previous families and waited to allow entry to LPA. LPA introduced self to owner Chamali De Silva and shared the reason for the visit which was to investigate the following allegations: staff commingles children and facility is operating out of ratio. LPA immediately took census of the preschool age classroom, where one teacher was present with four infants, four preschoolers and one school ager. LPA also observed the school-age classroom to have one teacher with two four year olds and three school aged children.
Continued on 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023
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 10-CC-20230724102239
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BRIGHT MINDS MONTESSORI,INC.
FACILITY NUMBER: 336300575
VISIT DATE: 08/22/2023
NARRATIVE
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During the investigation, records were obtained and interviews were conducted. A review of records revealed there is only one staff present from 7:00 AM to 8:00 AM and from 4:30PM to 6:00PM. Six of six interviews confirmed that commingling occurs in both the morning and afternoon session, as there is only one staff member present during this time. Based on LPA observations, one staff was present with a total of six children ages thirteen (13) months to five (5) years old.

Regarding the allegation that the facility is operating out of ratio, LPA observed one staff present with six children. The ages of the children ranged from thirteen (13) months to five (5) years with no assistant present, which puts the teacher out of ratio.

Based on record review, interviews, and observation the preponderance of evidence standard has been met. The above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 12 & Chapter 1) are being cited on the attached LIC 9099D.

An exit interview was conducted, appeal rights discussed and given to the licensee along with a copy of this


report was provided to licensee Nam De Silva. A notice of site visit was also provided and must remain posted
for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20230724102239
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: BRIGHT MINDS MONTESSORI,INC.
FACILITY NUMBER: 336300575
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2023
Section Cited
CCR
101161(a)
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Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by:
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By COB on 8/25/23, Licensee or DIrector will email LPA Chancellor proof of schedule for employees, to eliminate commingling in the opening and closing hours.
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Based on record review, interviews and observation staff were commingling the children from 7:00 AM to 8:00 AM and again from 4:30PM to 6:00 PM with six children present, ages 13 months to 5 years old and only one teacher.
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Type B
08/25/2023
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio: (2): There shall be a ratio of one teacher supervising no more than 12 children…
This requirement was not met as evidenced by:
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By COB on 8/25/23, LIcensee or Director will email LPA Chancellor schedule for fully qualified teacher. Licensee and Director will also email a wrtten declartion understanding ratio for fully qualified staff with aides present.
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Based on record review, interviews, and observation one teacher was left with six children and no assistant present. The ages of the children ranged from 13 months to 5 years. Due to infants being commingled with preschool age children, ratios are being exceeded.
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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: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3