198006301-11-22-2021-33-CC-CGAN-C932X6-20211123164636

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198006301
Report Date: 11/22/2021
Date Signed: 11/22/2021 02:11:48 PM

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
10/11/2021 and conducted by Evaluator Anomeh Eivazian

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20211011114533

FACILITY NAME:	FLINTRIDGE MONTESSORI PRE-SCHOOL & ELEMENTARY, INC		FACILITY NUMBER:	198006301
ADMINISTRATOR:	DAVID NIMALI ROHINI		FACILITY TYPE:	850
ADDRESS:	1739 FOOTHILL BOULEVARD		TELEPHONE:	(818) 790-8844
CITY:	LA CANADA	STATE: CA	ZIP CODE:	91011
CAPACITY:	85	CENSUS: 25	DATE:	11/22/2021
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Rohini David, Director		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility staff member mishandled child(ren) in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Anomeh Eivazian contacted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint findings. LPA arrived at 12:50 p.m. on 11/22/2021 and met with Joyce Young, teacher. Shortly after, Rohini David, director arrived who guided analyst on a tour of the facility. During this inspection there were 25 preschoolers present in the facility.

During this investigation, LPA Eivazian conducted interviews with staff, and two random current parents. LPA Eivazian reviewed staff#5’s file. LPA obtained a copy of facility roster, child#1 sign in/out sheet for 09/22/2021, staff#1’s Time sheet for September 2021, and child#1’s signed Photo Permission Form dated 03/03/2021.

Based on interviews that were conducted with two random parents, no disclosures were made.
Based on interviews that were conducted with 5 staff, child#1 was a part time child when started. Early September 2021 child#1’s schedule changed to full time.
REPORT CONTINUES ON NEXT PAGE 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

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-20211011114533

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: FLINTRIDGE MONTESSORI PRE-SCHOOL & ELEMENTARY, INC	FACILITY NUMBER: 198006301
	VISIT DATE: 11/22/2021

NARRATIVE

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Child#1 had a hard time for transition from outside to inside. Per staff interviews, child#1 was hitting with hands on forehead when would not get what asked. Also, child#1 hit teachers and child#1 would put their body on the outside ground and hit on the cement gourd. On 09/22/21, staff#1 clocked out at 2:25 p.m. and child#1 was picked up at 2:45 p.m.. Once staff #1 left the classroom, staff#3 went to help staff#2 in child#1’s classroom. Per staff interviews, on 09/22/2021 approximately at 2:15 p.m. after nap time, while staff#2 was putting napping cots away, at the same time child#1 wanted staff#2 to hold child#1’s hand, and child#1 was crying and following staff#2.

Based on a video that was taken by staff#5's phone, on 09/22/21 at 2:16 p.m. , child#1 was still is in the classroom. Per staff #5, approximately at 2:30 p.m. child#1 was brought to the office and staff#5 attempted to read a book to child#1 where there is a small rug, books and a child sofa but child#1 did not want to read a book. Per staff#5, between 2:30 p.m. and 2:45 p.m. while child #1 was in the office with staff#5, once the facility office phone rang and staff#5 went to answer the phone, at the same time child#1’s parent opened the office door while child#1 was on the carpet area.

Although the allegation may has happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is Unsubstantiated.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Rohini David, director at 2:30 p.m..

REPORT END 2 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

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