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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197403707
Report Date: 02/18/2022
Date Signed: 02/18/2022 01:56:09 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2022 and conducted by Evaluator Justeene Tamayo
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220202150138
FACILITY NAME:SIERRA MONTESSORI PRESCHOOL, LLCFACILITY NUMBER:
197403707
ADMINISTRATOR:NICOLE MEDINAFACILITY TYPE:
850
ADDRESS:18045-47 SIERRA HIGHWAYTELEPHONE:
(661) 252-6422
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:85CENSUS: 8DATE:
02/18/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Joanne Villa Robles, DirectorTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Ratio: Teacher-child ratios are not met

Personal rights: Day care child was yelled at while in care.

Personal rights: Day care child was not allowed to use the restroom while in care.
INVESTIGATION FINDINGS:
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On February 18, 2022 Licensing Program Analyst's (LPA) Monique Ayala and Justeene Tamayo conducted a follow-up investigation to the facility. LPA met with director. The purpose of the inspection was to deliver the findings for the above complaint allegations.

The investigation consisted of interviews with staff, children and other relevant complaint parties. The interviews revealed that there were no witnesses that could corroborate that the facility is out of ratio, that day care child was yelled at while in care and that day care child was not allowed to use the restroom while in care. Based on the evidence obtained the above allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report along with Notice of Site Visit and appeal rights were provided to director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022
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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