198004486-5-2-2019-33-CC-CGUA-BBWUH8-20190506153529

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198004486
Report Date: 05/01/2019
Date Signed: 05/02/2019 08:31:03 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/16/2018 and conducted by Evaluator Ariel Almazan

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20181016141707

FACILITY NAME:	MONTESSORI ACADEMY		FACILITY NUMBER:	198004486
ADMINISTRATOR:	BIBILE, NIRANJALA		FACILITY TYPE:	850
ADDRESS:	1920 W. GLENOAKS BOULEVARD		TELEPHONE:	(818) 846-5999
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91201
CAPACITY:	0	CENSUS: 56	DATE:	05/01/2019
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Ana Cruz		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Personal Rights- Staff hit daycare child resulting in injury
Personal Rights- Staff inappropriately shook daycare child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ariel Cazares conducted an unannounced complaint inspection on this date.LPA met with Teacher Ana Cruz and toured the facility. There were 56 children present and 6 staff.

LPA conducted and concluded the investigation into the above complaint allegations. LPA conducted interviews, obtain police records, reviewed camera footage, and obtained photos relevant to the allegations. Per complainant, Child #1 was picked up by their parent and an injury to the mouth was noticed. Per complainant, Child #1 disclosed to their parent that Staff #1 shook and hit the child. Per complainant, camera footage was reviewed, but the alleged incident was not in view. Per complainant, Staff #1 denied causing the injury to Child #1.

Based on LPA's interviews with staff and children in the facility, there were no disclosures that Staff #1 hit or shook Child #1. On the contrary Staff #1 and Children #2 and #3 stated witnessing Child #1 jumping up and down on their mat and falling.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

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 33-CC-20181016141707

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTESSORI ACADEMY	FACILITY NUMBER: 198004486
	VISIT DATE: 05/01/2019

NARRATIVE

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Staff #1 stated that the child did have a cut on their lip but did not notice until the child's parent brought it up during pick up time. Other staff interviewed, denied allegations of hitting or shaking children in care and observing other staff engaging in such behavior.

LPA's review of police records did not reveal that Staff #1 hit or shook Child #1. Police records mention camera footage that was reviewed, but no evidence to show how child sustained the injury. Police records mention Child #1 was interviewed but no disclosure came from Child #1 related to the allegations.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted with Director Angela Bibile. A copy of this report was provided.

A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.

*Due to computer issue, an electronic report could not be provided.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

LIC9099 (FAS) - (06/04)

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