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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367750068
Report Date: 12/19/2025
Date Signed: 12/19/2025 02:45:43 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/08/2025 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20251008102041
FACILITY NAME:MOUNTAIN MONTESSORIFACILITY NUMBER:
367750068
ADMINISTRATOR:JULIA HAJIAHMADIFACILITY TYPE:
850
ADDRESS:26577 STATE HWY 18TELEPHONE:
(909) 485-1035
CITY:RIMFORESTSTATE: CAZIP CODE:
92378
CAPACITY:18CENSUS: 11DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Administrator Julia Hajiahmadi TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff wrongfully terminated day care child
INVESTIGATION FINDINGS:
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On December 19, 2025, at 02:00pm Licensing Program Analyst (LPA) Kendal Zirbes met with facility representative Julia Hajiamadi. The purpose of the inspection was to deliver the findings for the above-mentioned allegation.  During the investigation, LPA Zirbes conducted interviews with staff and completed a review of the facility records. In addition, an unannounced inspection was conducted on October 15, 2025.
On October 8, 2025, Community Care Licensing (CCL) received information that child 1 (C1) was wrongfully terminated from the program in October 2025. Interviews with staff confirmed C1 was terminated from the program on October 3, 2025. Interviewees reported C1 had a hard time adjusting to the program and the Center was not able to meet the needs of C1. Staff interviews reported that C1 authorized representatives were notified of C1 behavior verbally and via Brighwheel. On October 15, 2025, LPA Zirbes completed a review of C1s records. Based on LPA record review, C1s file did not contain a current individual written admission agreement for C1. Therefore, C1 was terminated without an agreement with the authorized representative outlining the specific conditions under which the agreement may be terminated.
Report continued on page two
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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 12-CC-20251008102041
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MOUNTAIN MONTESSORI
FACILITY NUMBER: 367750068
VISIT DATE: 12/19/2025
NARRATIVE
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Report continued from page one

When asked why an admission agreement was not in C1 file, staff 1 reported, C1 authorized representative was provided with a copy of the admission agreement however a signed copy was not received from C1s authorized representative.

Based on the record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be Substantiated. A citation was issued on LIC 9099D for California Code of Regulations, Title 22, Division 12, Chapter 1, regulation 101219(b)(7) Admission Agreements.

A Notice of Site Visit was given and must remain posted for 30 days. An exit interview was conducted, and the report was reviewed with facility representative Julia Hajiamadi. Appeal rights and a copy of the report were provided to facility representative Julia Hajiamadi.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20251008102041
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MOUNTAIN MONTESSORI
FACILITY NUMBER: 367750068
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/22/2025
Section Cited
CCR
101219(b)(7)
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Admission Agreements 101219(b)(7): Conditions under which the agreement may be terminated. This requirement was not met as evidenced by:
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Per Administrator children will not be accepted into the program until they have all required paperwork. In October 2025, the Administrator reviewed all child files and ensured all files were complete and contained all required information. No further action required
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Based on record review, C1s file did not contain an admission agreement between the Licensee and C1s authorized representative which specified the conditions under which the agreement may be terminated. This poses a potential Health, Safety, or Personal Rights risk to persons 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: Lady King
LICENSING EVALUATOR NAME: Kendal Zirbes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3