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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364845659
Report Date: 03/11/2022
Date Signed: 03/11/2022 09:42:53 AM

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
12/16/2021 and conducted by Evaluator Karrene Phillips
COMPLAINT CONTROL NUMBER: 09-CC-20211216131812
FACILITY NAME:NADIA'S MONTESSORI CHILD CAREFACILITY NUMBER:
364845659
ADMINISTRATOR:NADIA AMIR AHMEDFACILITY TYPE:
850
ADDRESS:5001 RIVERSIDE DR.TELEPHONE:
(909) 964-0442
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:67CENSUS: 36DATE:
03/11/2022
UNANNOUNCEDTIME BEGAN:
09:23 AM
MET WITH:Anie-Monette Silan, DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Personal Rights: staff resfused to take daycare child to the potty
Personal Rights: staff left daycare child in wet clothing
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Kay Phillips and Elyse Jones arrived at the facility to provide investigations findings of the reported above allegation. LPA Phillips met with the Director, Anie-Monette Silan, at the time of the inspection and stated the purpose of today’s inspection. LPA Jones toured the facility and took census. LPA Phillips interviewed pertinent parties and obtained relevant documents related to the investigation.

During the initial inspection on 12/27/21, LPAs observed children's potty routine and staff supervising children. Interviews were conducted with facility staff present during this inspection on 12/27/202.

The allegation states that staff refused to take a child to the potty and staff left daycare child in wet clothing. Per the information obtained during the investigation, staff reported during naptime the child went to the restroom twice. Staff asked the child if he needed assistance and the child said no. The mother arrived to pick up the child during naptime and observed him in wet clothing, but it was not known as to how it occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
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-20211216131812
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: 03/11/2022
NARRATIVE
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Information obtained during the course of the investigation could not determine the wetness was due to not using the potty, as all pertinent information was unable to be collected.

Based on the interviews conducted, the review of the pertinent documentation and conflicting information, the allegation is UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

No deficiencies were found at this time.

Exit interview was conducted and a copy of this report and a Notice of Site Visit was provided to the Licensee. Notice of Site Visit was issued and must be posted for 30 days. A copy of this report was provided to the facility must be made available to the public for 3 years upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2