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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 153808774
Report Date: 03/03/2020
Date Signed: 03/03/2020 11:58:50 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2020 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20200116134756
FACILITY NAME:SIERRA MONTESSORI CHILDREN'S CENTERFACILITY NUMBER:
153808774
ADMINISTRATOR:ENRIQUEZ, CRISTALFACILITY TYPE:
850
ADDRESS:3800 WIBLE ROADTELEPHONE:
(661) 836-9769
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:80CENSUS: 35DATE:
03/03/2020
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Hailey SimonTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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On 03/03/2020 Licensing Program Analyst (LPA) Jose Penate conducted an unannounced inspection to complete the complaint investigation that was received on 01/16/2020. LPA met with Site Supervisor, Hailey Simon and discussed the purpose of the inspection. A tour of the facility was conducted both inside and outside and census was taken.
During the course of the investigation, LPA Penate conducted interviews and gathered documentation from facility. Based on interviews and documentation obtained during the investigation, it was determined that there is a preponderance of the evidence to prove that this facility was out of ratio on at least two occasions; therefore, the allegation is SUBSTANTIATED.
Upon documentation review and statements from interviews the facility has been out of ratio with 1 teacher and more than 12 children in attendance. It was found that the facility goes out of ratio more than one time a week, where one teacher would have 13 to 14 children in care.

Report Continued On LIC 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
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 04-CC-20200116134756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SIERRA MONTESSORI CHILDREN'S CENTER
FACILITY NUMBER: 153808774
VISIT DATE: 03/03/2020
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, deficiency cited (See 809-D).

In exit interview the Site Supervisor, Hailey Simon she was advised of appeals rights and was provided with Appeals Rights. A copy of the report, appeal rights, and a Notice of Site Visit were provided to Licensee.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20200116134756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SIERRA MONTESSORI CHILDREN'S CENTER
FACILITY NUMBER: 153808774
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
03/20/2020
Section Cited
CCR
101216.3(a)
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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance... This requirement was not met as evidenced by: Based on interviews, and record reviews
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Site Supervisor will submit her plan of action/correction to CCL on how she will ensure that she will remain within her capacity/ratio at all times.
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facility has had more than 12 children with only one teacher in the classroom. This poses a potential risk to the health, safety or personal rights of children in care.
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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.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Michael DuarteTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3