197407586-2-25-2023-58-CC-KSTS-CPG2WP-20230227164548

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197407586
Report Date: 02/24/2023
Date Signed: 02/25/2023 04:13:23 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
11/29/2022 and conducted by Evaluator Doris Whitmore

COMPLAINT CONTROL NUMBER: 58-CC-20221129104414

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: 91	DATE:	02/24/2023
		UNANNOUNCED	TIME BEGAN:	09:34 AM
MET WITH:	Anna Erbe		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Allegation: Personal Rights

INVESTIGATION FINDINGS:

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On 02/24/2023 at 9:34a.m. Licensing Program Analyst ( LPA) Doris Whitmore conducted an unannounced complaint visit for the purpose of delivering the findings of the investigation regarding allegation above. LPA met with Ana Erbe and observed ninety-one children and eleven staff at the time of the visit. LPA Whitmore interviewed five children from Room 7

On 01/26/2023 at 9:07 a.m. Licensing Prgram Analyst( LPA) Doris Whitmore conducted an unannounced complaint investigation and met with Director Ana Erbe for the purpose of continuing interviews with Director, Staff, and Children. LPA toured the facility and took pictures of Room 7. LPA obtained documents Personnel Record and two written statements from staff. At the time of the investigation LPA observed thirty-two children and four staff at the time of the visit
On 12/6/2023 Licensing Prgram Analyst LPA) Doris Whitmore initiiated the complaint investigation and met with Director Ana Erbe. LPA toured the facility indoors and outdoors. LPA observed fifty-eight children and eight staff at the time of the visit. LPA conducted intyerviews with Director, Staff, and Children and obtatined

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023

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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Control Number 58-CC-20221129104414

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: MONTESSORI OF CHATSWORTH	FACILITY NUMBER: 197407586
	VISIT DATE: 02/24/2023

NARRATIVE

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Parent Handbook, Roster, Sick & Medication Policy, Emergency Card, Enrollment Checklist, Personnel Report, Daily Schedule, Sign in Sheet and Teacher Handbook,

The Department conducted a full investigation, which included staff interviews, and interviews with relevant parties, as well as a record review, including documentation as related to the allegation. With the information obtained and interviews conducted the investigation did not provide sufficient evidence to substantiate the allegation of Personal Rights. Although the allegation may have happen or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated.
An exit interview was conducted, a copy of this report, appeal rights along with Notice of Site Visit was provided.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023

LIC9099 (FAS) - (06/04)

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