197407586-7-23-2021-30-CC-MRUZ-C5B7DM-20210726213435

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197407586
Report Date: 07/23/2021
Date Signed: 07/23/2021 12:21:36 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/27/2021 and conducted by Evaluator Margarit Sislyan

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210527163427

FACILITY NAME:	MONTESSORI OF CHATSWORTH		FACILITY NUMBER:	197407586
ADMINISTRATOR:	ERBE, ANNEROSE		FACILITY TYPE:	850
ADDRESS:	10616 ANDORA AVE.		TELEPHONE:	(818) 709-2980
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	110	CENSUS: 68	DATE:	07/23/2021
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Annerose Erbe		TIME COMPLETED:	11:36 AM

ALLEGATION(S):

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Facility is not taking precautionary measures to prevent COVID-19.

INVESTIGATION FINDINGS:

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Margarit Sislyan, Licensing Program Analyst (LPA) conducted tele-visit via Face-Time to deliver the investigation findings of the above allegations. LPA spoke with Annerose Erbe, Director.

During the investigation LPA interviewed parties and reviewed documents relevant to the above allegation.
Based on investigation conducted and preponderance of evidence the above allegations is unsubstantiated, means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Annerose Erbe has been advised that an email shall be sent with the report attached, which has been reviewed during the Tele-Visit and a read receipt via email shall be considered an acknowledgement that they are in receipt of this form.

Exit interview

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

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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