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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 013420951
Report Date: 12/04/2020
Date Signed: 12/04/2020 02:02:29 PM



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
11/30/2020 and conducted by Evaluator Brittany Newton
COMPLAINT CONTROL NUMBER: 02-CC-20201130124822
FACILITY NAME:GLOBAL MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
013420951
ADMINISTRATOR:TENG, VIVIFACILITY TYPE:
850
ADDRESS:2830 - 9TH STTELEPHONE:
(510) 845-6969
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:90CENSUS: 27DATE:
12/04/2020
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Vivi TengTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not report abuse to proper agencies.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/4/2020, Licensing Program Analyst Brittany Newton made an announced tele-visit Zoom call to Director Vivi Teng for the purpose of closing the above complaint investigation. Director Vivi Teng for the purpose of closing the above complaint investigation. Present for the visit was Lily Cheng from San Diego State University to assist Vivi with interpreting the documents. There were 27 pre-school aged children present for the inspection.
Over the course of the investigation LPA Newton interviewed witnesses, the director, a staff member, parents, and reviewed documentation. Based on an interview conducted with the Director, the facility had a conversation with another analyst that advised the incident did not need to be reported. Therefore, the allegation is UNSUBSTANTIATED, meaning that the allegation may have happened or is valid but there is not a preponderance of evidence to prove the alleged violation did or did not occur.
Exit interview conducted and a copy of this report was emailed to the licensee, along with appeal rights. Signature not obtained due to COVID-19 restrictions.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Brittany NewtonTELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2020
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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