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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343616551
Report Date: 04/23/2024
Date Signed: 04/23/2024 11:24:16 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/17/2024 and conducted by Evaluator Stephanie Piring
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240417104957
FACILITY NAME:COUNTRYHILL MONTESSORIFACILITY NUMBER:
343616551
ADMINISTRATOR:APRIL VASQUEZFACILITY TYPE:
850
ADDRESS:7048 SUNRISE BOULEVARDTELEPHONE:
(916) 728-2929
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:102CENSUS: DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:April VasquezTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility staff did not isolate children with clear signs of illness
INVESTIGATION FINDINGS:
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On April 23, 2024, at 9:00AM, Licensing Program Analyst (LPA) Stephanie Piring met with Director, April Vasquez, for or the purpose of a complaint inspection and to deliver findings. It was alleged that the facility did not isolate children with clear signs of illness. Throughout the course of the investigation visit, LPA reviewed files, conducted interviews and observations.

LPA came to learn via staff interviews that although the Director made several attempts to contact the parents, the child suspected of illness remained in the classroom with other children until she was picked up. Staff 1(S1) and Director both stated that the child had blisters forming on their hands and feet that appeared to be hand, foot, and mouth. Director stated that due to not having enough staff to remove the child from the area where other children were, the child stayed with their class outside. Both Staff 2 (S2) and Director stated the child remained at the facility until they were picked up around 1:20pm. LPA observed a Doctor note in the Child's file confirming the child can return to the center and is no longer contagious.

Page 1 of 2 Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
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 3
Control Number 03-CC-20240417104957
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: COUNTRYHILL MONTESSORI
FACILITY NUMBER: 343616551
VISIT DATE: 04/23/2024
NARRATIVE
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Based on witness statements, and record review, the facility failed to isolate the child. This poses an immediate risk to the health and safety of children in care. The preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.

Title 22 deficiencies are being cited on LIC 9099-D.

Exit interview was conducted and report was reviewed with Director April Vasquez. Appeal rights were provided, and A Notice of site visit was given and must remain posted for 30 days.

Page 2 of 2

SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20240417104957
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: COUNTRYHILL MONTESSORI
FACILITY NUMBER: 343616551
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/23/2024
Section Cited
CCR
101226.2(a)
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101226.2 Isolation for Illness
(a) A center shall be equipped to isolate and care for any child who becomes ill during the day.
This Requirement was not met as evidence by:
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Facility will update emergency contact info for all children enrolled.

Facility will create a barrier to keep children isolated for illness if the child needs to stay in the same room for supervison.
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Based on interviews, and record
review, the licensee did not isolate a child with signs of illness, which poses an immediate risk to the health, safety, and personal rights of 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3