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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419166
Report Date: 10/03/2019
Date Signed: 10/03/2019 02:32:32 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/29/2019 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190729131056
FACILITY NAME:MONTESSORI OF STEVENSON RANCHFACILITY NUMBER:
197419166
ADMINISTRATOR:ELLISON, DESIREEFACILITY TYPE:
850
ADDRESS:25940 THE OLD ROADTELEPHONE:
(661) 257-4161
CITY:STEVENSON RANCHSTATE: CAZIP CODE:
91381
CAPACITY:188CENSUS: 132DATE:
10/03/2019
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Erin JohnsonTIME COMPLETED:
02:31 PM
ALLEGATION(S):
1
2
3
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7
8
9
Personal Rights- Staff inappropriately disciplined daycare child while in care.
Personal Rights- Staff yelled at day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
0n 10/03/2019 at 12:40 p.m., Licensing Program Analyst (LPA), Isabel Ortega, met with above facility's Director, Erin Johnson. LPA was at the facility for the purpose of conducting a complaint investigation related to the above allegations. LPA disclosed the purpose of the inspection, and was granted entry.

During today's inspection, LPA conducted interviews with children and completed child file reviews. During the interviews children stated there are "Joyful consequences" and staff talks to them and books are optional. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.


An exit interview was conducted, a copy of this report, and notice of site visit were provided to Director, Erin Johnson.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019
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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