197419166-4-2-2020-12-CC-MRAN-BNAVBX-20200402161815

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419166
Report Date: 04/02/2020
Date Signed: 04/02/2020 09:46:37 AM

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
01/07/2020 and conducted by Evaluator Jazelle Neal

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20200107134748

FACILITY NAME:	MONTESSORI OF STEVENSON RANCH		FACILITY NUMBER:	197419166
ADMINISTRATOR:	ELLISON, DESIREE		FACILITY TYPE:	850
ADDRESS:	25940 THE OLD ROAD		TELEPHONE:	(661) 257-4161
CITY:	STEVENSON RANCH	STATE: CA	ZIP CODE:	91381
CAPACITY:	188	CENSUS: 0	DATE:	04/02/2020
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Rushani Thomas-Wise		TIME COMPLETED:	09:44 AM

ALLEGATION(S):

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Personal Rights: Facility staff handled child in a rough manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Neal conducted a televisit with Director, Rushani Thomas-Wise, for the purpose of following up on a complaint investigation to deliver findings of the above allegation. During this investigation, LPA Neal spoke with staff, children, and other relevant complaint parties as well as reviewed staff files and other relevant documents.
Based on the information obtained and interviews conducted the allegation is deemed Unsubstantiated. A finding that the complaint 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 occurred.

Notice of Site Visit was given to be posted for 30 days. Appeal Rights were given.
This inspection was conducted via Tele-visit, report has been emailed for Read receipt from the director.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 04/02/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2020

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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