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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 093616872
Report Date: 04/14/2021
Date Signed: 04/14/2021 09:36:41 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2021 and conducted by Evaluator Michelle Pascual
COMPLAINT CONTROL NUMBER: 03-CC-20210129141940
FACILITY NAME:MADRONE MONTESSORI SCHOOL, LLCFACILITY NUMBER:
093616872
ADMINISTRATOR:CAMPBELL, KRISTAFACILITY TYPE:
850
ADDRESS:5001 WINDPLAY DRIVE #1TELEPHONE:
(530) 676-4110
CITY:EL DORADO HILLSSTATE: CAZIP CODE:
95762
CAPACITY:74CENSUS: 39DATE:
04/14/2021
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Krista CampbellTIME COMPLETED:
09:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Staff pinched day care child
Personal Rights- Staff is rough with day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Michelle Pascual met with the Director Krista Campbell via virtual telephone inspection (Zoom) to provide the findings for the above allegations. During the course of the investigation LPA Pascual reviewed children’s records, interviewed children, parents and staff and conducted observations in the classroom.
There were 39 children and 8 Teachers present.

The complaint alleges that the staff were rough with the child and at one point a child was pinched. According to the staff there has never been an instance in which a child was roughly handled nor pinched. LPA found through the parent and child interviews, there was no evidence to corroborate the allegation.

Based on the information gathered throughout the course of this investigation there was not sufficient evidence nor information to support or dismiss the above allegation. Therefore, the finding for the above allegation was determined to be UNSUBSTANTIATED.

An UNSUBSTANTIATED finding means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged abuse occurred.

An exit interview was conducted in which the report was reviewed and discussed with the licensee as well as e-mailed.
Appeal rights were discussed and a printed version was given to licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Michelle PascualTELEPHONE: (916) 704-7665
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
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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