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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010213520
Report Date: 11/01/2022
Date Signed: 11/01/2022 02:57:22 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, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/12/2022 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20220812100306
FACILITY NAME:ROCKRIDGE MONTESSORI SCHOOLFACILITY NUMBER:
010213520
ADMINISTRATOR:O'VALLE, SANDI ZORINICHFACILITY TYPE:
850
ADDRESS:5610 & 5616 BROADWAYTELEPHONE:
(510) 652-7021
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY:56CENSUS: 38DATE:
11/01/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:KATHY SAETERNTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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LACK OF SUPERVISION- Day care child was not adequately supervised
INVESTIGATION FINDINGS:
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LICENSING PROGRAM ANALYST TASHA ALEXANDER MET TODAY WITH CENTER DIRECTOR KATHY SAETERN TO DELIVER THE FINDINGS TO THE ABOVE COMPLAINT ALLEGATION.
UPON ARRIVAL TODAY THERE ARE 38 PRESCHOOL AGE CHILDREN PRESENT ON THE CAMPUS. ON THIS ANALYST'S LAST VISIT, AN INTERVIEW WAS CONDUCTED WITH THE CENTER DIRECTOR, A TOUR OF THE FACILITY WAS CONDUCTED AND OTHER RELEVANT DOCUMENTS WERE RECEIVED. FURTHER INVESTIGATION HAS BEEN CONDUCTED. AND IT WAS FOUND THAT IN AUGUST 2022, ALTHOUGH MULTIPLE STAFF WAS PRESENT, A CHILD WAS ABLE TO BE BITTEN IN THE CLASSROOM BY ANOTHER CHILD ON MORE THAN ONE OCCASION.

BASED ON LPAs OBSERVASTIONS AND INTERVIEWS WHICH WERE CONDUCTED AND RECORD REVIEWS, THE PREPONDERANCE OF EVIDENCE STANDARD HAS BEEN MET, THEREFORE THE ABOVE ALLEGATION IS FOUND TO BE SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter , are being cited on the attached LIC. 9099D.” AN EXIT INTERVIEW WAS CONDUCTED. A NOTICE OF SITE VISIT WAS POSTED.



Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
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 02-CC-20220812100306
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ROCKRIDGE MONTESSORI SCHOOL
FACILITY NUMBER: 010213520
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/23/2022
Section Cited
CCR
101229
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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY: A CHILD WAS NOT ADEQUATELY SUPERVISED WHEN ABLE TO BE
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THE FACILITY HAS SINCE TAKEN ACTION BY REMOVING THE CHILD FROM THE CLASSROOM. LICENSEE WILL ALSO CONDUCT AN ALL STAFF TRAINING ON CHILD SUPERVISION AS WELL AS HOW TO DEAL WITH CHILD BITING. LICENSEE WILL SUBMIT A DETAILED SUMMARY THE AGENDA, WHAT THE FACILITY WILL NOW DO TO PREVENT ANOTHER INCIDENT AND ALSO SUBMIT A SIGN IN SHEET OF ALL STAFF THAT ATTENDED THE TRAINING BY 11/23/22.
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BITTEN BY ANOTHER CHILD ON MORE THAN ONE OCCASION EVEN THOUGH MULTIPLE STAFF WERE PRESENT IN THE CLASSROOM.
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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.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2