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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435700782
Report Date: 07/23/2025
Date Signed: 07/23/2025 02:55:26 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/19/2025 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20250519151924

FACILITY NAME:LEARN AND PLAY MONTESSORI MILPITASFACILITY NUMBER:
435700782
ADMINISTRATOR:SELVA NAMOKAREANFACILITY TYPE:
860
ADDRESS:164 N. ABEL STTELEPHONE:
(510) 916-1503
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:212CENSUS: 162DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Authorized Representative Selva NamokareanTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Reporting Requirements - facility staff are not properly reporting incidents.
INVESTIGATION FINDINGS:
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On 07/23/2025 at 11:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a complaint investigation. LPA met with the Authorized Representative Selva Namokarean and explained the nature of the visit. Present on this visit were 25 Staff Member, 157preschool children, and 15 toddlers. The facility operates from Monday to Friday 8 am to 6 pm.

The Reporting Party (RP) alleged the above allegation. Finding was delivered on this visit.

During the investigation, LPA conducted a physical plant inspection and conducted interviews, record reviews and observation.

Based on LPA’s interview, C1 had an “allergic reaction” on C1’s face from a “food” that C1 ate in the classroom, during lunch or snack. This happened sometimes in April to May 2025, the exact date was not confirmed. S1 administered and provided “Zyrtec” medication. There was no incident reports made to the Department.

Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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 5
Control Number 52-CC-20250519151924
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LEARN AND PLAY MONTESSORI MILPITAS
FACILITY NUMBER: 435700782
VISIT DATE: 07/23/2025
NARRATIVE
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The Licensee is in violation of Reporting Requirements Section 101212 (d) Upon the occurrence, during the operation of the child care center of any of the events….(B) Any injury to any child that requires medical treatment….

The preponderance of evidence standard has been met; therefore, the above allegation is to be SUBSTANTIATED.

LPA Estoesta informed the Authorized Representative Selva Namokarean that this report dated 7/23/2025 included a Type B Citation which can be posted as there is a potential risk to the health, safety, or personal rights of children in care.

For Childcare Transparency Website (Licensing Facility Inspection Reports), please follow the links below.

https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome

https://www.ccld.dss.ca.gov/carefacilitysearch/

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed Authorized Representative Selva Namokarean.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 52-CC-20250519151924
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LEARN AND PLAY MONTESSORI MILPITAS
FACILITY NUMBER: 435700782
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
101212(d)(B)
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Reporting Requirements Section 101212 (d) Upon the occurrence, during the operation of the child care center of any of the events….(B) Any injury to any child that requires medical treatment….
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LPA advised the Authorized Representative Selva Namokarean to develop a plan of correction and submit proof to the Oakland Office via email or mail on or before the POC due date. The Plan shall describe how the licensee will bring their facility into compliance. It must be measurable and verifiable.
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This requirement is not met as evidenced by, based on LPA’s interview, C1 had an “allergic reaction” on C1’s face from a “food” that C1 ate in the classroom during lunch. This happened sometimes in April to May 2025, the exact date was not confirmed. S1 administered and provided “Zyrtec” medication. There was no incident reports made to the Department. This poses a potential risk to the health, safety or personal rights to children in care.
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The Authorized Representative Selva Namokarean will make an unusual incident report of the mentioned incident, to the Department and will submit a completed LIC 624 on or before the POC due date. LPA encouraged the Authorized Representative Selva Namokarean to review the Reporting Requirements to the Staff. LPA provided the Child Care Reporting Requirements Video, https://ccld.childcarevideos.org/child-care-center-operators/child-care-reporting-requirements/
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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: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5