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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013417530
Report Date: 03/27/2024
Date Signed: 03/27/2024 03:29:14 PM

Unsubstantiated


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
12/12/2023 and conducted by Evaluator Melanie Otsuji
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20231212094058
FACILITY NAME:MISSION VALLEY MONTESSORI CHILDREN'S LRNG. CENT.FACILITY NUMBER:
013417530
ADMINISTRATOR:KATRINA GUTIERREZFACILITY TYPE:
850
ADDRESS:39600 MISSION BLVD.TELEPHONE:
(510) 793-2327
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:199CENSUS: 98DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:May SampangTIME COMPLETED:
03:48 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff sexually abused day care child while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 Licensing Program Analyst (LPA) Melanie Otsuji arrived unannounced to deliver the findings for the above allegation. LPA met with Facility Representative, May Sampang and explained the purpose of the inspection. Also present during today's visit were 28 fingerprint cleared staff members and 98 preschool aged children.

During the course of the investigation, the complaint investigation was handled by the Investigation Branch (IB) investigator, Rhonda Austin. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.

Notice of Site visit and appeal rights were provided. An exit interview was conducted, and the report was reviewed with the Facility Representative, May Sampang.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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