<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492787
Report Date: 10/21/2019
Date Signed: 10/21/2019 09:31:24 AM



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
08/14/2019 and conducted by Evaluator Lady King
COMPLAINT CONTROL NUMBER: 12-CC-20190814104708
FACILITY NAME:MONTESSORI OF SANTA CLARITAFACILITY NUMBER:
197492787
ADMINISTRATOR:DONNA SCRIMES-RISTOWFACILITY TYPE:
850
ADDRESS:27757 BOUQUET CANYON ROADTELEPHONE:
(661) 296-0175
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY:90CENSUS: DATE:
10/21/2019
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Brandy Black-PereaTIME COMPLETED:
09:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-

Food Service-
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) King met with, Director Brandy Black-Perea today for the purpose of concluding the complaint investigation for the above allegation. Investigation consisted of interviews with, staff, parents, and a tour of the facility. Statements obtained from the interviews conducted did not collaborate with the above allegations. There is not enough evidence to state children in care, were left unattended in soaking wet diaper for an extended period or that the facility is unsanitary, therefore the allegations are unsubstantiated.

A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, the Department could not prove whether it was true or not; therefore, the preponderance of the evidence has not been met.

An exit interview was conducted, and a copy of this report was given to the Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2