213000400-10-12-2021-05-CC-CINO-C7QVMR-20211012163355

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 213000400
Report Date: 09/21/2021
Date Signed: 10/12/2021 04:25:49 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/02/2021 and conducted by Evaluator Haydee R Caliboso

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20210902124241

FACILITY NAME:	MONTESSORI SCHOOL OF NOVATO		FACILITY NUMBER:	213000400
ADMINISTRATOR:	YOUNG, SUSAN M.		FACILITY TYPE:	850
ADDRESS:	1466 SOUTH NOVATO BLVD.		TELEPHONE:	(415) 892-2228
CITY:	NOVATO	STATE: CA	ZIP CODE:	94947
CAPACITY:	60	CENSUS: 16	DATE:	09/21/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Malin Guerrero		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not properly supervise children.

INVESTIGATION FINDINGS:

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***This is an amended report to include details of the allegation***
On 9/21/21 at 1:15pm, Licensing Program Analyst (LPA) Haydee Caliboso arrived at the facility to conduct a closing complaint investigation in response to the above allegation. LPA spoke with the Director, Malin Guerrero. Present during the inspection were 16 children and 4 staff.

Based on LPA's gathered information through observations and interviews with staff the agency has investigated the complaint allegation above. The facility did maintain proper ratio and did supervise children while in care. Staff working with children to social distance as per guidance from the Pubilc Health and Centers for Disease Control and Prevention. Although the allegation 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 allegation in UNSUBSTANTIATED.

Appeal Rights were provided to the facility. This report and rights to comment and appeal have been discussed. A Notice of Site Visit was posted during this inspection.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650)266-8864
LICENSING EVALUATOR NAME: Haydee R Caliboso	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021

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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