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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 283008069
Report Date: 08/30/2023
Date Signed: 08/30/2023 04:19:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/31/2023 and conducted by Evaluator Melinda Mohr
PUBLIC
COMPLAINT CONTROL NUMBER: 01-CC-20230531104339
FACILITY NAME:NAPA VALLEY MONTESSORI LEARNING CENTER - P/SFACILITY NUMBER:
283008069
ADMINISTRATOR:SMITH, TERESITAFACILITY TYPE:
850
ADDRESS:120W AMERICAN CANYON ROAD M 11TELEPHONE:
(707) 853-9580
CITY:AMERICAN CANYONSTATE: CAZIP CODE:
94503
CAPACITY:37CENSUS: 17DATE:
08/30/2023
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Todd PetersonTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Day care child sustained injuries while in care

Staff did not notify day care child's parent of injuries
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mindy Mohr made an unannounced complaint investigation visit today, and met with Director of Operations, Todd Peterson (D2), for the purpose of delivering findings of the above allegations. LPA Mindy Mohr previously met with Kathryn Lumbard (D1) on 06/05/2023 to open the complaint. Subsequent visits were made on 06/15/2023, and 08/02/2023 to further investigate the complaint which alleged that day care child (C1) sustained injuries while in care and staff did not notify day care child’s parent of injuries.

During the course of the investigation, LPA Mohr toured the facility, received documents, conducted interviews, and made observations. From 06/05/23 through 08/02/2023, interviews were conducted with the Director (D1), Director of Operations (D2) three staff, (S1 -S3), five children (C1 – C5), and seven adults (A1- A7).

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
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 4
Control Number 01-CC-20230531104339
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NAPA VALLEY MONTESSORI LEARNING CENTER - P/S
FACILITY NUMBER: 283008069
VISIT DATE: 08/30/2023
NARRATIVE
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D1 stated there have never been any serious injuries, just the usual bumps to the head, scrapes and falls, which usually do end up with blood and need to be cleaned and bandaged. D1 stated that when there is an injury the information is entered into the Brightwheel application the center uses to inform parents. D1 claimed there have not been any injuries at the facility since she started in March 2023. During follow up interviews, both D1 and S1 stated there was an incident where two children were running, bumped heads and a child's tooth fell out. D1 stated the parents of the child whose tooth fell out were notified but they did not notify the other child's parent(s). D2 stated teachers do an injury report on the Brightwheel app as well as speak to the parents at pick up.

S1 stated that they let D1 know when there is an injury and if the injury is minor, children are brought to the bathroom to clean them up then S1 stated they have not seen any major injuries, broken arms, or any injury with blood and that a message is then sent to the parents via the Brightwheel app. S1 stated they are not aware of any injuries that have happened recently.



S3 stated that when a child gets injured, they make sure the child is fine and helps to clean them up if necessary. S3 stated sometimes the parents are made aware of the incident via the Brightwheel app but there are times when parents do not know their child was injured. S3 stated there was a recent incident where a child fell and hurt themself while outside in which S3 was informed the next day that the child's parents did not know of the incident or that their child got hurt. S3 has also witnessed D1 and S1 in D1’s office while children were alone in the classroom.

Adult interviews revealed that parents are not always notified of some incidents. A1 stated their child has been hurt while at school, but there was only one time they were notified. A2 stated there have been many accidents that do not get reported to parents or licensing and that they did “not think the center knows how to report injuries“ or that teachers are transparent with parents when it comes to accidents or injuries. A3 stated their children have been pushed around by other children and most recently were injured twice but they were never notified. A4 stated there was an incident in March when their child was injured in which the school did not give any paperwork or report on the injury. A4 further stated their child got hurt, when the children were playing outside and S2 was inside the school at the time, so S2 did not see what happened. In addition, A5 stated that their child only attended for a short period of time from March to July, 2023, and there were a couple times when their child came home and said they got hurt at school but they were not always notified.
Continued on LIC9099-C
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 01-CC-20230531104339
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: NAPA VALLEY MONTESSORI LEARNING CENTER - P/S
FACILITY NUMBER: 283008069
VISIT DATE: 08/30/2023
NARRATIVE
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One incident involved a child throwing a tonka truck at another child's head, resulting in an injury requiring an Emergency Room visit. A6 stated that they removed their child due to safety concerns with the new staff, specifically (S1) and (D1), when their child got hurt at school which resulted in two Emergency Room visits. A6 also stated their child would come home and tell them they fell while on the playground and got hurt but they weren’t always notified. A7 stated their child no longer attends the facility due to concerns they observed during pick up time. Their child and another child were alone in the classroom without an adult present which happened often.

On 06/15/23 at approximately 10:55 am while children were lining up to go inside, LPA Mohr observed two children pushing another child into a fence which made that child cry. LPA Mohr observed D1 and S2 look at the children, turn away, and not address the incident. While inside, the children were told to sit at the tables and be quiet. Both D1 and S2 left the area, leaving the children unattended and without supervision at the tables. For 3 to 5 minutes while there was no staff supervision, LPA observed the children hitting one another, throwing crayons, papers and cars across the tables.


Based on the investigation, the preponderance of evidence standard has been met. Therefore, the above allegations are found to be substantiated. The following violations of the California Code of Regulations, Title 22; Division 12: see LIC 9099D.

Exit interview was conducted, and report reviewed with Todd Peterson. Appeal rights were provided. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 01-CC-20230531104339
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NAPA VALLEY MONTESSORI LEARNING CENTER - P/S
FACILITY NUMBER: 283008069
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/29/2023
Section Cited
CCR
101226.3(b)
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Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record. This requirement was not met as evidenced by:
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Parents will be contacted the day of injury, staff will call in the incident within 24 hrs and do written report within 7 days.
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Based on interviews conducted and record review there was enough evidence to support claims about the facility not reporting all injuries or incidents requiring assessment to the child’s authorized representative. This poses/posed a potential health, safety and/or personal rights risk(s) to children in care.
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Type B
09/29/2023
Section Cited
CCR
101229(a)(1)
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101229(a)...licensee shall provide... supervision...to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except... Supervision shall include visual observation. This requirement is not met as evidenced by:
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We will always make sure we have a qualified teacher always with the children. We will keep eyes on the children at all times.
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Based on interviews and observations the licensee failed to ensure staff were providing visual supervision of the children which resulted resulting in children’s injuries. This poses an immediate Health, Safety or Personal Rights risk to the children in care.
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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: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Melinda MohrTELEPHONE: (707) 494-2125
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4