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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364830892
Report Date: 08/25/2021
Date Signed: 08/25/2021 02:58:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2021 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210813095403
FACILITY NAME:MONTESSORI ACADEMY OF CHINOFACILITY NUMBER:
364830892
ADMINISTRATOR:DE SILVA, MAVANANEFACILITY TYPE:
850
ADDRESS:4511 RIVERSIDE DRIVETELEPHONE:
(909) 591-3937
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:60CENSUS: 23DATE:
08/25/2021
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ariana Gomez Assistant Director TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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-Facility is not operating within teacher: child ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to conduct a visit regarding a complaint received concerning the above allegation. LPA Zeron toured the facility and took a census. LPA Zeron met with Ariana Gomez to further discuss the complaint/allegations. On 08/19/2021, a visit was previously conducted regarding the complaint, on that visit, staff were interviewed and files were reviewed.

The following was alleged: Facility is not operating within teacher: child ratio.

LPA Zeron investigated the above allegation and gathered the following information regarding the issue concerning ratio, it was disclosed that there was one teacher is at the center from 7:00 am to 8:00 am alone supervising up to 15 children. LPA reviewed records for a two week period and found that on 07/27/2021 one teacher, 14 children; 07/28/2021, one teacher 14 children; 07/29/2021 one teacher 15 children. Further investigation found that some of the children belonged to the private Kindergarten on site, this issue is addressed on a separate case management. Interviews revealed that the Director admitted due to staff shortage, the center was occasionally out of ratio from the hours 7:00 am to 8:00 am.


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2021 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210813095403

FACILITY NAME:MONTESSORI ACADEMY OF CHINOFACILITY NUMBER:
364830892
ADMINISTRATOR:DE SILVA, MAVANANEFACILITY TYPE:
850
ADDRESS:4511 RIVERSIDE DRIVETELEPHONE:
(909) 591-3937
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:60CENSUS: 23DATE:
08/25/2021
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Ariana GomezTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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-Facility is not allowing parents to inspect facility

-Facility is not operating within contracted hours
INVESTIGATION FINDINGS:
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During the investigation, LPA Zeron made observations, conducted interviews with Director and all other relevant individuals pertinent to this investigation. It was reported that the facility is not allowing parents to inspect the facility and facility is not operating within contracted hours.

During interviews, Director indicated that due to the COVID 19 pandemic, the facility was closed from the dates 03/23/2020 to 05/04/2020. Once reopened, the Director indicated that an email to all parents was sent out in regards to the facility reopening and there were modifications put in place as a precautionary measure. One of the modifications was the facility hours. The normal bussiness hours are 06:00 am to 6:00pm, modified hours are 7:00 am to 5:30 pm. LPA reviewed the welcome folder for all new enrollments and found that the facility was still using the old admissions agreement that indicated their hours to be from 6:00 am to 6:00 pm. The new enrollment folder also contained the daily classroom schedule which indicates that program starts at 7:00 am. New enrollee parents were given this schedule as well as a verbal indication of modified hours due to COVID 19. Interviews with the Director and Assistant Director revealed that a short tour for new enrollment parents is given by the assistant Director, The classroom that their child would be attending would be viewed from the doorway of that classroom for a short period of time. The parent would not enter the classroom due to COVID 19 precautionary measures.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 09-CC-20210813095403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI ACADEMY OF CHINO
FACILITY NUMBER: 364830892
VISIT DATE: 08/25/2021
NARRATIVE
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. On June 9, 2020 parents were given a parent agreement COVID 19 protocol that indicated, " If you need to enter beyond the lobby area for any reason, we ask that you wash or sanitize your hands immediately upon entry", this was a required parental signed document. Interviews with Directors indicated that they have not received any parental complaints or concerns about either of the above allegations. Directors indicated that if the parent had a request to view their child's classroom, the center would accommodate the request.

Due to conflicting statements, LPA cannot determine if the above allegations are true. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated at this time.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 09-CC-20210813095403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MONTESSORI ACADEMY OF CHINO
FACILITY NUMBER: 364830892
VISIT DATE: 08/25/2021
NARRATIVE
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Based on LPA observations and interviews which were conducted and a review of additional pertinent information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099D.

The Director was provided a copy of their appeal rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

A copy of this report must be made available to the public for 3 years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 09-CC-20210813095403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MONTESSORI ACADEMY OF CHINO
FACILITY NUMBER: 364830892
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/26/2021
Section Cited
CCR
101216.3
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 Teacher-Child Ratio - There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement was not met as evidenced by: Complaint investigation revealed that in the mornings from 7:00am - 8:00 am there is one teacher present and up to 15 children at one time. This conduct poses a potential risk to the health and safety of children in care.
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Assistant Director agreed to come in to the facility at 7:00 am starting 08/19/2021 to assist the teacher on duty to stay in compliance.

Schedule was updated. POC cleared
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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: Kimberly Williams
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 7