364845659-3-15-2021-09-CC-GSEA-BZCSEU-20210322134917

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364845659
Report Date: 03/15/2021
Date Signed: 03/15/2021 01:07:52 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
02/18/2021 and conducted by Evaluator Justin Giese

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210218085909

FACILITY NAME:	NADIA'S MONTESSORI CHILD CARE		FACILITY NUMBER:	364845659
ADMINISTRATOR:	NADIA AMIR AHMED		FACILITY TYPE:	850
ADDRESS:	5001 RIVERSIDE DR.		TELEPHONE:	(909) 964-0442
CITY:	CHINO	STATE: CA	ZIP CODE:	91710
CAPACITY:	67	CENSUS: 15	DATE:	03/15/2021
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Nadia Ahmed		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Lack of supervision resulting in child playing outside with no supervision.
Day care staff are not notifying the child's authorized representative of less serious injuries.
Nail polish and nail polisher remover accessible to day care children

INVESTIGATION FINDINGS:

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On 03/15/2021 at 01:00pm Licensing Program Analyst (LPA) Justin Giese conducted a Tele-inspection to conclude a complaint investigation that was initiated on 02/18/2021. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this investigation was conducted via Tele-inspection, utilizing the app, Google Duo. LPA met with Facility Director Nadia Ahmed to deliver findings.

The following was alleged: Lack of supervision resulting in child playing outside with no supervision. LPA investigated the above allegation and gathered the following information:

Interviews conducted with Facility Director and Day Care staff did not indicate any isolated incidents resulting in children playing outside unsupervised. Director and staff stated in the past the facility has addressed concerns of parental supervision of their children during the drop off and pick up process.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20210218085909

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: NADIA'S MONTESSORI CHILD CARE	FACILITY NUMBER: 364845659
	VISIT DATE: 03/15/2021

NARRATIVE

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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.

The following was alleged: Day care staff are not notifying the child's authorized representative of less serious injuries. LPA investigated the above allegation and gathered the following information:

Director and Staff interviews corroborate the facility is responsible to report injuries and incidents to authorized representatives of children. Director provided LPA with a notebook labeled “Incident Report Logbook”. LPA’s observation and review of Incident Report Logbook provided proof of the documentation of children injuries or behavioral issues that occur in the facility. Director stated all incidents logged are verbally discussed with authorized representatives.

The evidence collected was not sufficient to substantiate or refute the above allegation. Although the allegations 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 UNSUBSTANTIATED.

The following was alleged: Nail polish and nail polisher remover accessible to day care children. LPA investigated the above allegation and gathered the following information:

Interviews with Facility Director and Day Care Staff state nail polish and nail polish remover are not made accessible to children in care. Director stated, in the past, nail polish and nail polish remover were brought to the facility by staff and utilized during supervised activities with day care children. The nail polish and nail polish remover were not stored in the classroom before or after its use. LPA toured the facility inside and out and did not observe nail polish or nail polish remover stored in the facility at the time of inspection.

The evidence collected was not sufficient to substantiate or refute the above allegation. Although the allegations 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 UNSUBSTANTIATED.

Continued on LIC9099-C

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 09-CC-20210218085909

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: NADIA'S MONTESSORI CHILD CARE	FACILITY NUMBER: 364845659
	VISIT DATE: 03/15/2021

NARRATIVE

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AT THE TIME OF VISIT NO DEFICIENCIES WERE CITED

An exit interview was conducted, LPA provided Facility Director with a copy of this report via email, along with an electronic “read receipt”. The electronic read receipt or reply to the email acknowledges receipt of this report.

A NOTICE OF SITE VISIT WAS EMAILED. DIRECTOR WAS INSTRUCTED POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

A copy of this report and appeal rights were emailed to the Director during this Tele-inspection on 03/15/2021 and must be made available to the public upon request for the next 3 years.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021

LIC9099 (FAS) - (06/04)

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