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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364842577
Report Date: 01/13/2022
Date Signed: 01/13/2022 04:24:07 PM

Unsubstantiated


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
11/18/2021 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211118143355
FACILITY NAME:MONTESSORI OF RANCHO CUCAMONGAFACILITY NUMBER:
364842577
ADMINISTRATOR:BORETZ,KACEYFACILITY TYPE:
850
ADDRESS:10110 CHURCH STREETTELEPHONE:
(909) 944-6500
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:168CENSUS: 20DATE:
01/13/2022
UNANNOUNCEDTIME BEGAN:
04:12 PM
MET WITH:Deanna Gomez/Assistant DirectorTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Staff did not prevent inappropriate behavior between children
INVESTIGATION FINDINGS:
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On 1/13/2022 at 4:12 PM, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation to deliver final findings. LPA was granted access into the facility and met with assistant director. LPA toured facility and took a census.

It was alleged that staff did not prevent inappropriate behavior between children. During the investigation, LPA conducted interviews with staff and children.
LPA interviewed three (3) staff. During interviews with staff, staff were aware of issues of behavior between children and were consistently observing the children to make sure the children were following the rules of constructive play. Staff stated they separated the children, talked to the parents about the issues, and shadowed the children.

(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
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 2
Control Number 09-CC-20211118143355
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 OF RANCHO CUCAMONGA
FACILITY NUMBER: 364842577
VISIT DATE: 01/13/2022
NARRATIVE
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LPA interviewed five (5) children. During children’s interviews, some children stated the teachers are present and take care of them if they have problems with other children. Other children stated there may have been a time when they had a problem with other children and staff did not prevent the issue from happening; however, no specific details were provided.



There was conflicting information from what was alleged, and interviews LPA conducted with staff and children. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.


Exit interview conducted with director, report, appeal rights and Notice of Site Visit issued.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2