<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274408906
Report Date: 11/09/2021
Date Signed: 11/09/2021 01:30:58 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2021 and conducted by Evaluator Joseph Macias
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20211018140448
FACILITY NAME:PEGASUS MONTESSORI SCHOOLFACILITY NUMBER:
274408906
ADMINISTRATOR:ORALIA DIAZFACILITY TYPE:
850
ADDRESS:305 REINDOLLAR AVENUETELEPHONE:
(831) 883-1216
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY:30CENSUS: 20DATE:
11/09/2021
UNANNOUNCEDTIME BEGAN:
12:07 PM
MET WITH:Oralia DiazTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left day care child unattended.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Joe Macias, conducted an announced inspection in order to deliver findings on the complaint investigation of above allegation. LPA Macias met with the Director/ Licensee Oralia Diaz to discuss complaint allegation.

LPA Macias interviewed staff, children, and parents, observed the classroom, as well as obtained copies of pertinent information. Throughout the investigation process, it was found the allegation (staff left day care child unattended) is UNSUBSTANTIATED; based on interviews, and information gathered by LPA Macias. A finding that is unsubstantiated means although the allegation may have happened or is valid, the preponderance of evidence does not prove it.

Exit interview conducted and copy of this report was left with the Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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