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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 010213903
Report Date: 01/26/2024
Date Signed: 01/26/2024 01:26:44 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
10/17/2023 and conducted by Evaluator April Wright
COMPLAINT CONTROL NUMBER: 52-CC-20231017141914
FACILITY NAME:MONTESSORI SCHOOL AT WASHINGTON AVENUEFACILITY NUMBER:
010213903
ADMINISTRATOR:YOUSSEF, MARIANFACILITY TYPE:
850
ADDRESS:14795 WASHINGTON AVENUETELEPHONE:
(510) 357-8432
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY:111CENSUS: 54DATE:
01/26/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Marian YossefTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Ratio - Day care is out of ratio
INVESTIGATION FINDINGS:
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On January 26th, 2024 at 10:35am, Licensing Program Analyst (LPA) April Wright conducted an unannounced complaint site inspection and met with Center Director Marian Youssef. LPA informed Director of the reason for the visit. Purpose of the visit to deliver the revised finding of a complaint investigation regarding the above allegation - Facility out of Ratio. LPA toured the facility for a health and safety inspection. Present during the inspection was 54 toddler/preschool age children and 6 staff personnel.

Based on the LPA's observations and interviews, the preponderance of evidence standard has been met. Therefore, the above allegation of the Day care is out of ratio is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section:101216.3(a) are being cited on the attached LIC 9099D.Today a civil penalty of $250.00 is being assessed. Upon receipt, licensee shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
See LIC9099C for continuance....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
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 52-CC-20231017141914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MONTESSORI SCHOOL AT WASHINGTON AVENUE
FACILITY NUMBER: 010213903
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/12/2024
Section Cited
CCR
101216.3(a)
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Ratio - (a) There shall be a ratio of one teacher visually observing an supervising no more than 12 children in attendance.

This regulation is not met as evidenced by:
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Center Director will conduct staff meeting and review staffing ratio regulations provided by LPA. LPA will be notified within 24 hours of all staff meeting. Licensing will attend meeting scheduled by director.
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Repeat Violation: Based on observations it was determined by LPA Wright that on previous licensing visits dated 3/8/2023 and 8/2/2023 that this facility was out of ratio.
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Facility will adhere to the Title 22 laws and regulations of the department pertaining to teacher / child ratio for child care centers.
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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: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 52-CC-20231017141914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MONTESSORI SCHOOL AT WASHINGTON AVENUE
FACILITY NUMBER: 010213903
VISIT DATE: 01/26/2024
NARRATIVE
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An exit interview was conducted, and the report was discussed. Licensee was provided a copy of their appeal rights and the signature on this form acknowledges receipt of these rights. A SITE VISIT NOTICE WAS POSTED.

Exit interview conducted with Center Director Marian Youssef.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3