197419680-12-3-2020-30-CC-VBAA-BVXTWQ-20201203140556

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419680
Report Date: 11/25/2020
Date Signed: 12/03/2020 11:53:08 AM

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
08/17/2020 and conducted by Evaluator Miriam Cohen

COMPLAINT CONTROL NUMBER: 30-CC-20200817144523

FACILITY NAME:	PALOS VERDES MONTESSORI ACADEMY		FACILITY NUMBER:	197419680
ADMINISTRATOR:	OFELIA WATANABE & MS. HAQ		FACILITY TYPE:	830
ADDRESS:	28451 INDIAN PEAK ROAD		TELEPHONE:	(310) 541-2405
CITY:	RANCHO PAOLS VERDES	STATE: CA	ZIP CODE:	90274
CAPACITY:	24	CENSUS: 12	DATE:	11/25/2020
		UNANNOUNCED	TIME BEGAN:	03:16 PM
MET WITH:	Ofelia Watanabe, Director		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Facility staff handled infant in a rough manner

INVESTIGATION FINDINGS:

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This report is being delivered electronically per Tele-Visits Procedure for COVID-19. This is an amended report which supersedes the older report with additional information. At 11:15 AM on 12/03/20, LPA Miriam Cohen conducted an unannounced virtual visit and and informed Ofelia Watanabe, Director, of the reason for the visit: Delivery of report finding. LPA interviewed staff members and parent of child victim. LPA obtained copies of the following: Children Roster with ID, Children Sign In/out, written declaration from Director, Asst Director, teacher, and parent of child victim. After reviewing the video footage, the parent of child victim reevaluated the situation, determined that video recording was able to capture and provide a clearer picture of what took place during the incident, and decided to continue with the child’s enrollment. After conducting interviews and reviewing documentation including the reconsideration of the initial allegation made by the parent of child victim, opinion of law enforcement, and school admin, the following conclusion has been reached: UNSUBSTANTIATED - means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview and report review was conducted with director. An email will be sent with the report attached. A read receipt via email shall be considered as signature and an acknowledgement that she is in receipt of this form.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 11/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2020

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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