197410539-11-2-2021-30-CC-MNEL-C8DSS2-20211102140711

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197410539
Report Date: 10/28/2021
Date Signed: 11/02/2021 01:59:05 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
08/12/2021 and conducted by Evaluator Sabrina Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210812120737

FACILITY NAME:	SANTA MONICA MONTESSORI SCHOOL		FACILITY NUMBER:	197410539
ADMINISTRATOR:	CRISMAN, PAMELA J.		FACILITY TYPE:	850
ADDRESS:	1909 COLORADO AVENUE		TELEPHONE:	(310) 829-3551
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90404
CAPACITY:	97	CENSUS: 52	DATE:	10/28/2021
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Pamela Crisman, Licensee		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Allegation #1: Administrator is not wearing a mask
Allegation #2: Children are not wearing a mask

INVESTIGATION FINDINGS:

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On 10/28/2021 at 09:20 am, Licensing Program Analyst (LPA) Sabrina Martinez arrived Santa Monica Montessori School for the purpose of delivering the investigation findings for the above allegations. Upon arrival, LPA Martinez met with Pamela Crisman, Licensee, and discussed the purpose of the visit. LPA observed 52 children, and 10 staff members.

LPA Martinez followed COVID-19 Safety Guidelines during this investigation. LPA wore a face covering, sanitized hands, and maintained social distance whenever possible.

On 08/16/2021, LPA conducted an initial visit at the facility. LPA observed facility signs and posters regarding mask usage and the required COVID 19 posters posted in the facility's door. LPA conducted a tour of the facility and observed licensee, facility staff, and children wearing masks.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021

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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Control Number 30-CC-20210812120737

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SANTA MONICA MONTESSORI SCHOOL	FACILITY NUMBER: 197410539
	VISIT DATE: 10/28/2021

NARRATIVE

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On 10/25/2021, an interview was conducted with day care parents who disclosed that facility screens children for COVID-19 signs and symptoms prior to entering the facility and children and staff wear facial coverings and masks.

On 10/28/2021, LPA Martinez conducted a subsequent visit at the facility. During this visit, LPA toured the 4 classrooms and observed facility staff and children wearing masks and facial coverings. LPA also observed signage and posters informing parents and visitors of policies such as employees and children over 24 months wearing face masks. LPA also obtained a copy of the facility's COVID-19 Emergency Plan. This plan highlights requiring visitors, including parents and caregivers, regardless of vaccination status, to bring and wear a mask when they are indoors at the facility. Facility provides masks to those who arrive without them. The facility requires children ages 24 months and older to wear a face mask. Masks may be removed during nap time or when children are eating or drinking. Facility requires all employees, regardless of vaccination status, to wear masks when working indoors and in shared vehicles. Masks need not be worn indoors if the employee is alone.

Although the allegations that administrator is not wearing a mask and children are not wearing a mask may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated.

An exit interview was conducted and a copy of this report, appeal rights, and Notice of Site Visit were provided to Licensee Pamela Crisman.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2021

LIC9099 (FAS) - (06/04)

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