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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750013
Report Date: 09/23/2021
Date Signed: 09/23/2021 10:43:53 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
07/08/2021 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20210708104945
FACILITY NAME:MONTESSORI OF NORTH PARKFACILITY NUMBER:
197750013
ADMINISTRATOR:JOHNSON, ERINFACILITY TYPE:
830
ADDRESS:28180 MCBEAN PARKWAYTELEPHONE:
(818) 974-3582
CITY:VALENCIASTATE: CAZIP CODE:
91355
CAPACITY:52CENSUS: 14DATE:
09/23/2021
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Rushani Thomas &Thalia ValdovinosTIME COMPLETED:
10:58 AM
ALLEGATION(S):
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Staff did not provide adequate food service to day care child.
Day care child left in soiled diaper resulting in diaper rash.
INVESTIGATION FINDINGS:
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On 09/23/21 Licensing Program Analysts (LPA) Justin Dorsey and Babatunde Ibitoye conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA's met with assitant director Thalia Valdovinos, who guided LPA's on a tour of the facility. Director Rushani Thomas arrivesd to the facility shortly after. Upon arrival LPA's observed 14 children in care with 4 staff members. All staff are fingerprint cleared and associated to the facility.

During the course of the investigation LPA Dorsey interviewed the complainant, staff and parents of the program. After observations and interviews with parties related to the allegations it was found that the allegations could not be collaborated. Interviews, video and documnets contained no disclosure that children at the facility are not being adequately fed or left in soiled diapers. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility is not providing a safe and healthful environment, Therefore the above allegations are Unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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
Control Number 12-CC-20210708104945
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MONTESSORI OF NORTH PARK
FACILITY NUMBER: 197750013
VISIT DATE: 09/23/2021
NARRATIVE
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An exit interview was conducted, a copy of this report read out, and notice of site visit was given to Director, Rushani Thomas and Assistant Direector Thalia Valdovinos.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2