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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300577
Report Date: 08/22/2023
Date Signed: 08/22/2023 05:14:43 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.
COMPLAINT CONTROL NUMBER: 10-CC-20230724103758
FACILITY NAME:BRIGHT MINDS MONTESSORI,INC.FACILITY NUMBER:
336300577
ADMINISTRATOR:AURORA GONZALEZFACILITY TYPE:
830
ADDRESS:17159 GRAND AVENUETELEPHONE:
(951) 378-4103
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:12CENSUS: 4DATE:
08/22/2023
UNANNOUNCEDTIME BEGAN:
03:01 PM
MET WITH:Aurora GonzalezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff are commingling infants with children of all ages
Facility is operating out of ratio
INVESTIGATION FINDINGS:
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On August xxx, 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 to deliver the findings, took a tour of the facility and took census. During today’s inspection, four infants were present and proper ratios were/were not being followed.

On July 28, 2023, LPA Chancellor initiated an investigation into a complaint alleging; Staff are commingling infants with children of all ages and facility is operating out of ratio. During the investigation, records were obtained and interviews were conducted. A review of records revealed that there is one staff member present from 7:00 AM to 8:00 AM and again from 4:30 PM to 6:00 PM. The ages of the children present during these time periods is thirteen (13) months to nine (9) years old. Six (6) of Six (6) interviews revealed commingling occurs in both the first and last hours of the day, due to staffing and only one teacher present.
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-20230724103758
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: 336300577
VISIT DATE: 08/22/2023
NARRATIVE
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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 Director Aurora Gonzalez. 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-20230724103758
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: 336300577
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
101438.3(b)
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Indoor Activity Space for Infants: (b) Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components. 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 observation, interviews and record review, commingling occurs with infant aged children being combined with toddler, preschool and school age children in the first and last hour of the day. infants are dropped off at arrival time in building 2 and combined with children up until the age of 9.
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Type B
08/25/2023
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 is 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 observation, interviews and record review, infant aged children are being combined in the first and last hour of the day, with children as old as nine years old with only one teacher and no aide. Due to infants being commingled 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