197750013-12-19-2019-12-CC-MRAN-BKLUAV-20200107142520

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197750013
Report Date: 12/19/2019
Date Signed: 12/19/2019 11:42:45 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
10/17/2019 and conducted by Evaluator Donna Maddox

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20191017095210

FACILITY NAME:	MONTESSORI OF NORTH PARK		FACILITY NUMBER:	197750013
ADMINISTRATOR:	JOHNSON, ERIN		FACILITY TYPE:	830
ADDRESS:	28180 MCBEAN PARKWAY		TELEPHONE:	(818) 974-3582
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY:	52	CENSUS: 6	DATE:	12/19/2019
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Thalia Valdovinos, Asst. Director		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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Infant sustained unexplained injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Maddox met with Thalia Valdovinos, Asst. Director today for the purpose of finalizing the above complaint allegation. Before concluding this investigation, LPA interviewed staff, obtained written declarations, gathered information from other entities, and viewed pictures of injuries sustained. The above allegation was investigated by Law Enforcement who later determined there was no crime committed. Staff do not retain diaper changing schedules, however, if something is noticed while changing diapers, teachers notate reports and inform parents when child is picked up. When changing diapers, and for sanitation purposes, staff are required to wear gloves. This center has video cameras in the classrooms which was viewed and there was no evidence of any inappropriate contact between staff and child.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019

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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Control Number 12-CC-20191017095210

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: MONTESSORI OF NORTH PARK	FACILITY NUMBER: 197750013
	VISIT DATE: 12/19/2019

NARRATIVE

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Based on evidence, LPA is unable to make determination that any violation occurred, therefore the above complaint is rendered 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 allegation occurred. Exit interview conducted and a copy of report was read and provided to Assistant Director, Thalia Valdovinos.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019

LIC9099 (FAS) - (06/04)

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