198015474-4-5-2023-33-CC-CGAN-CRJUXL-20230505155830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198015474
Report Date: 04/05/2023
Date Signed: 04/05/2023 02:06:33 PM

Substantiated

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
04/04/2023 and conducted by Evaluator Anomeh Eivazian

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230404111835

FACILITY NAME:	MONTROSE CHRISTIAN MONTESSORI SCHOOL		FACILITY NUMBER:	198015474
ADMINISTRATOR:	RIMA CHRISTINA DIBIE		FACILITY TYPE:	850
ADDRESS:	2545 HONOLULU AVENUE		TELEPHONE:	(818) 249-2319
CITY:	MONTROSE	STATE: CA	ZIP CODE:	91020
CAPACITY:	105	CENSUS: 54	DATE:	04/05/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Rima Christina Dibie, Director and Sharon Lee, Licensee		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced complaint inspection to the above facility on 04/05/2023 at 11:30 AM . LPA met with Rima Chritina Dibie, director who guided LPA on a tour of the facility. During this inspection Jay Thompson, school principal and Sharon Lee, licensee were also present. During this inspection there were total of 54 preschoolers present in the facility.

During this investigation, LPA Eivazian conducted interviews with staff. LPA obtained copies of sign in/out sheets from 03/15/23 to 04/04/23.

Based on interviews that were conducted with staff #2 and staff#3, on Monday 04/03/23, there were total of 15 children present in their classroom. Per staff#2 on 04/03/23 when she went on her lunch break staff#3 was alone with 15 children. Per staff#3, on 04/03/23 when she went on her lunch break staff#2 was alone with 15 children.
REPORT CONTINUES ON NEXT PAGE 1 of 2

Substantiated

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: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

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 3

Control Number 33-CC-20230404111835

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: MONTROSE CHRISTIAN MONTESSORI SCHOOL	FACILITY NUMBER: 198015474
	VISIT DATE: 04/05/2023

NARRATIVE

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Based on an interview that was conducted with staff#1, lately she assists preschooler teachers with their breaks. Per staff#1, she did not assist staff#2 and staff#3 on 04/03/23 with their breaks.

Based on LPA Eivazian observations and sign in/out sheets review, on 04/03/23 there were 15 children present in staff#2 and staff#3 classroom.

Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been meet, therefore the above allegation is found to be Substantiated at this time.

California Code of Regulations, 101216.3 (a) --Teacher-Child Ratio-- There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below is being cited on the attached LIC9099D.

LPA Anomeh Eivazian informed licensee, Sharon Lee that this report dated 04/05/2023 document(s) 1 of Type A citation. Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Anomeh Eivazian informed the Sharon Lee, licensee to provide a copy of this licensing report dated 04/05/23 that documents 1 Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee, Sharon Lee 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: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20230404111835

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: MONTROSE CHRISTIAN MONTESSORI SCHOOL	FACILITY NUMBER: 198015474
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/05/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/06/2023 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	teacher child Ratio There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by...	1 2 3 4 5 6 7	Per licensee, she will review staff scheduling and will have a staff meeting to ensure to meet required Title 22 Regulations teacher child Ration at all the times. A written plan will be submitted to LPA Eivazian by 04/06/23.
	8 9 10 11 12 13 14	Based on staff interviews and sign in/out sheets review for 04/03/23, total of 15 children were present in staff#2 and staff#3 classroom and during staff #2 and staff#3 lunch breaks, 15 preschoolers were with one staff. This poses an immediate health and safety risk to the children in care.	8 9 10 11 12 13 14	$250 Civil Penalty was assessed due to repeat violation within 12 months.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Anomeh Eivazian	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC9099 (FAS) - (06/04)

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