073408897-9-17-2021-02-CC-SJON-C7TPMC-20211015112607

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 073408897
Report Date: 09/17/2021
Date Signed: 09/17/2021 03:33:56 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, SUITE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/15/2021 and conducted by Evaluator Monica Mathur

PUBLIC

COMPLAINT CONTROL NUMBER: 02-CC-20210915152354

FACILITY NAME:	FOUNTAINHEAD MONTESSORI SCHOOL-PLEASANT HILL		FACILITY NUMBER:	073408897
ADMINISTRATOR:	RIZVI, SUMAIRA		FACILITY TYPE:	850
ADDRESS:	1715 OAK PARK BOULEVARD		TELEPHONE:	(925) 967-2655
CITY:	PLEASANT HILL	STATE: CA	ZIP CODE:	94523
CAPACITY:	72	CENSUS: 25	DATE:	09/17/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Sumaira Rizvi		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Other - Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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On 9/17/21 at 1:15 PM Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Complaint Investigation and met with Director, Sumaira Rizvi. Complainant alleges that facility is operating out of ratio during nap time.

Based on the interviews and information obtained during the investigation, the allegation is UNSUBSTANTIATED which means 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. No deficiency was cited. Finding of the above allegation was delivered during the inspection. Exit interview was conducted, where this report, was discussed with Director. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:	DATE: 09/17/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021

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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