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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 354415951
Report Date: 07/27/2022
Date Signed: 07/29/2022 08:26:27 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/22/2022 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220722091428
FACILITY NAME:HOLLISTER MONTESSORI SCHOOLFACILITY NUMBER:
354415951
ADMINISTRATOR:DEBORAH LYNN PARGAFACILITY TYPE:
850
ADDRESS:2300 SOUTHSIDE ROADTELEPHONE:
(408) 408-2930
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:30CENSUS: 0DATE:
07/27/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Debbie PargaTIME COMPLETED:
10:55 AM
ALLEGATION(S):
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Facility license is not being advertised.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Deanna Villagrana met with Director/Licensee Debbie Parga to open investigation for the above allegation. LPA explained the nature of today’s inspection to her. Present was Debbie Parga. The facility is closed for the summer. LPA did not observe any children.

Based on LPA's observation of social media and interview which was conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, facility license is not being advertised on advertisments. California Code of Regulations, Health and Safety Code 1596.80, are being cited on the attached LIC9099D.

The following type B deficienciy was cited on the attached page (809-D).
A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
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 07-CC-20220722091428
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HOLLISTER MONTESSORI SCHOOL
FACILITY NUMBER: 354415951
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/29/2022
Section Cited
CCR
101162(a)(1)
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Licensees shall reveal each child care center license number in all advertisements in accordance with Health and Safety Code Section 1596.861. This requirement was not met as evidenced by facility license is not being advertised on advertisments.
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Licensee will update soical media accounts and updated all signs and submit photos to CCLD by POC date.
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This poses a potential risk Health, Safety Personal Rights risk to 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: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3