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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370064
Report Date: 09/23/2021
Date Signed: 09/23/2021 07:18:56 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
08/06/2021 and conducted by Evaluator Jordann Nelson
COMPLAINT CONTROL NUMBER: 06-CC-20210806090422
FACILITY NAME:AMERIMONT ACADEMY, INCFACILITY NUMBER:
304370064
ADMINISTRATOR:MADRIGAL, SAMANTHAFACILITY TYPE:
850
ADDRESS:490 ANAHEIM HILLS ROADTELEPHONE:
(714) 974-4664
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY:75CENSUS: 5DATE:
09/23/2021
UNANNOUNCEDTIME BEGAN:
05:30 PM
MET WITH:Samantha MadrigalTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff do not meet education requirements.
Staff interfere with toileting needs of children in care.
INVESTIGATION FINDINGS:
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On 09/23/2021 Licensing Program Analyst (LPA) Jordann Nelson conducted an announced complaint visit regarding the allegation listed above with Director Samantha Madrigal.

A review of the Facility Personnel Summary on the above date indicates that all staff have criminal background clearance check clearances and are properly associated to the center. On 08/11/2021 a complaint was filed with the Department that Staff do not meet education requirements, and that staff interfere with toileting needs of children in care.

LPA interviewed complainant on 08/10/2021 about allegations, complaint was unable to recall the name of staff who was not a qualified teacher and the teachers or teacher who prevented the children from going to the restroom during nap time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann NelsonTELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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
Control Number 06-CC-20210806090422
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: AMERIMONT ACADEMY, INC
FACILITY NUMBER: 304370064
VISIT DATE: 09/23/2021
NARRATIVE
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continued from page 1

During the investigation, LPA Nelson observed at the day-care center during normal operating hours. The preschool classrooms were observed during nap time on 09/08/2021 at 1:55 PM . The director, four teachers, four parents and four children were interviewed during the investigation process.

Interviews were conducted with the facility director who stated that the teachers all have the education unit requirements to be preschool teachers. LPA Nelson reviewed the staff files four files on 08/11/21. and confirmed that the teachers of the preschool classes did have the educational requirements. During staff file review LPA viewed that there was one teacher’s aide that had completed some module units. LPA Nelson confirmed that module units are not accepted as meeting educational requirements rather the director confirmed that the individual with module credit is not left alone with children, nor is the staff considered a teacher.

LPA Nelson observed the preschool during nap time and observed the nap, nap time is from 12:30 PM-2:30 PM daily. LPA Nelson viewed five children wake up and freely go to the restroom. The teacher was observed sitting outside the restroom door as the children were in the restroom during the nap portion of the day. Interviews were conducted with four teachers who sated that they did not hinder or prevent any child from going to the restroom. Interviews were conducted with the center director who was never aware of any issues of children not being able to use the restroom freely.

Interviews were conducted with four children who did not share any concerns regarding being prevented from use the restroom during the daily nap time. LPA interviewed four parents; no disclosures were made by parents.

continued on page 3.

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann NelsonTELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20210806090422
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: AMERIMONT ACADEMY, INC
FACILITY NUMBER: 304370064
VISIT DATE: 09/23/2021
NARRATIVE
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Continued from page 2

Based on interviews conducted and conflicting information regarding that Staff do not meet education requirements, and that staff interfere with toileting needs of children in care although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview was conducted Report was read to Director Samantha Madrigal. A copy of the report along with Appeal Rights were provided. All appeals must be in writing and received by the Licensing office within 15 business days. End of report

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jordann NelsonTELEPHONE: (714) 743-8228
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3