198016262-8-8-2019-33-CC-TCON-BFJLPX-20190830085636

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198016262
Report Date: 07/30/2019
Date Signed: 08/08/2019 10:48:58 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
06/13/2019 and conducted by Evaluator Timothy Fields

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190613165608

FACILITY NAME:	GATEWAY MONTESSORI AND PRESCHOOL OF SAN DIMAS		FACILITY NUMBER:	198016262
ADMINISTRATOR:	CHARMAINE MANAGE		FACILITY TYPE:	840
ADDRESS:	516 E. BONITA AVENUE		TELEPHONE:	(909) 592-7700
CITY:	SAN DIMAS	STATE: CA	ZIP CODE:	91773
CAPACITY:	18	CENSUS: 9	DATE:	07/30/2019
		UNANNOUNCED	TIME BEGAN:	10:27 AM
MET WITH:	Diane Virga		TIME COMPLETED:	12:54 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff hit child.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

A Complaint investigation was conducted by Licensing Program Analyst (LPA), Timothy Fields for the purpose of investigating the above allegation. During the course of the investigation LPA was able to interview all parties with knowledge of the incident, including additional staff and children. LPA obtained incident reports detailing what took place the day of the incident and in the days following.

LPA also received a declaration provided to the school by a parent of a child in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted with Diane Virga. A copy of the report and notice of site visit was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

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