300606452-10-29-2020-06-CC-THOO-BVHUKS-20201119143937

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300606452
Report Date: 10/29/2020
Date Signed: 10/29/2020 12:03:06 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/01/2020 and conducted by Evaluator Tina Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20200501142100

FACILITY NAME:	APPLETREE MONTESSORI		FACILITY NUMBER:	300606452
ADMINISTRATOR:	SILIS, LAUREN		FACILITY TYPE:	850
ADDRESS:	25542 JERONIMO RD		TELEPHONE:	(949) 770-2707
CITY:	MISSION VIEJO	STATE: CA	ZIP CODE:	92691
CAPACITY:	83	CENSUS: 31	DATE:	10/29/2020
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Lauren Sills, Director		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Day care child was denied to return to school due to disability.

INVESTIGATION FINDINGS:

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Tele-Investigation due to Covid-19 State of Emergency
On 10/29/2020, Licensing Program Analyst (LPA) Tina Nguyen conducted a Tele- investigation via FaceTime Application to deliver the findings regarding the above complaint allegation. This complaint investigation had been started on 05/06/2020 by LPA Dean Valencia and on 08/25/2020 by LPA Tina Nguyen. LPA Nguyen met with director Lauren Sills remotely via FaceTime application. LPA notified the director that due to Covid-19 and Department of Public Health (DPH) guidelines of social distancing, a tele investigation is conducted. The Covid-19 Emergency Response questionnaires were asked.
Per school director, there was a total of 31 preschool children with 6 staff. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 05/01/2020, our office received a complaint and complainant reported that a day care child was denied returning to school due to disability.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina Nguyen	TELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020

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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Control Number 06-CC-20200501142100

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: APPLETREE MONTESSORI	FACILITY NUMBER: 300606452
	VISIT DATE: 10/29/2020

NARRATIVE

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Telephone interviews with director and complainant were conducted by LPA Nguyen and Valencia. During the interview, director disclosed that due to the new limits on group sizes from the Health Department, the facility would not have adequate room to accept subject child and the aide (not facility staff) who provided additional assistance to subject child. The aide would be taking a spot from a child of an essential worker. Director also stated there was no way the facility discriminating against the child with disability but trying to keep the entire school safe by not having an unfamiliar adult in the facility. Director also stated as soon as the pandemic is gone, the child and aide can return to the facility right away.

Based on the information gathered from LPAs' interviews and document reviewed, there is insufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was not posted due to tele-investigation Covide-19 State of Emergency. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina Nguyen	TELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020

LIC9099 (FAS) - (06/04)

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