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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343623400
Report Date: 05/08/2025
Date Signed: 05/08/2025 12:26:43 PM

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
04/29/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250429094250
FACILITY NAME:GUIDEPOST MONTESSORI AT FOLSOMFACILITY NUMBER:
343623400
ADMINISTRATOR:KIANA KOMENTANIFACILITY TYPE:
850
ADDRESS:777 LEVY ROADTELEPHONE:
(916) 836-8899
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:156CENSUS: 70DATE:
05/08/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Miranda McCarthyTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee did not notify parents/guardians of Type A citation
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Facility Representative (FR), Miranda McCarthy, for a complaint investigation, and to deliver findings of the above allegation. Purpose of the inspection was explained.
Throughout the course of the investigation, LPA toured the facility, observed staff provide care to children, reviewed files, and conducted interview. It was alleged that Type A licensing report was not provided to parents/authorized representatives for 04/11/25. LPA's record review and interview with FR corroborated the allegation, Licensee did not notify parents/guardians of Type A citation. The preponderance of evidence standard has been met, and the allegation is SUBSTANTIATED.

A Tittle 22 deficiency was cited today. This report was reviewed with FR, and an exit interview was conducted. Appeal Rights was provided to FR, who will post it for a period of 30 days for parental review.

Substantiated
Estimated Days of Completion: 1
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
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 2
Control Number 03-CC-20250429094250
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: GUIDEPOST MONTESSORI AT FOLSOM
FACILITY NUMBER: 343623400
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
05/15/2025
Section Cited
HSC
1596.8595(c)(2)
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ยง1596.8595 Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services (c)(2) Upon enrollment of a new child in a facility, the licensee shall provide to the parents or legal guardians of the newly enrolling child copies of any licensing report that the licensee has received during the prior 12-month period that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b.
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FR stated they will provide Type A licensing reports to parents/guardians upon enrollment and will attach the report electronically as a part of their enrollment packet. FR will email LPA a sample enrollment packet by end of business day on POC due date.
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This requirement is not met as evidenced by: based on interview and record review, Licensee (L) did not comply with the section cited above, as Facility Representative (FR) confirmed that on at least one occasion, Type A licensing report was not provided to parents/guardians upon enrollment, which poses a potential health, safety, or personal rights risk 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: Natalie Dunaway
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2