304370471-7-15-2019-06-CC-JHAN-BFA2EF-20190821171949

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370471
Report Date: 07/15/2019
Date Signed: 07/15/2019 11:58:21 AM

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
07/08/2019 and conducted by Evaluator Cindy Nguyen

COMPLAINT CONTROL NUMBER: 06-CC-20190708145740

FACILITY NAME:	ST. MATTHEW'S MONTESSORI SCHOOL		FACILITY NUMBER:	304370471
ADMINISTRATOR:	PICKARD, MARIE		FACILITY TYPE:	850
ADDRESS:	2300 FORD ROAD		TELEPHONE:	(949) 219-0915
CITY:	NEWPORT BEACH	STATE: CA	ZIP CODE:	92660
CAPACITY:	75	CENSUS: 51	DATE:	07/15/2019
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director, Marie Pickard		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff failed to treat day care child with respect and dignity.

INVESTIGATION FINDINGS:

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A complaint inspection was conducted at the facility by Licensing Program Analyst (LPA) Nguyen, in response to the above allegation. Upon arrival LPA met with Director, Marie Pickard. LPA was accompanied on a tour of the facility by Director, Marie Pickard. LPA observed 51 preschool age children with 7 staff members. During today's inspection staffing and capacity ratios were being met. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 07/08/2019 a complaint was received by the Licensing office alleging staff failed to treat day care child with respect and dignity. During today's inspection, LPA conducted a physical plant inspection, interviewed staff, and obtained emails from the school to parents. LPA also reviewed children's records and obtained a copy of the sign in & out. During the interviews, all staff stated there was a miscommunication between parents and facility staff regarding to the child graduation. In order to graduate at the facility, a child must complete the Kindergarten year. Proof of child picture was taken for the classroom wall. (Continued on Page 2 - LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 703-2834
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019

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-20190708145740

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: ST. MATTHEW'S MONTESSORI SCHOOL	FACILITY NUMBER: 304370471
	VISIT DATE: 07/15/2019

NARRATIVE

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Based on LPA interviews which were conducted and record reviews, the preponderance of evidence was not met, therefore the above allegation is found to be unsubstantiated. 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 is unsubstantiated.

Exit interview was conducted with Director, Marie Pickard. Notice of Site Visit was posted during the visit. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 703-2834
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019

LIC9099 (FAS) - (06/04)

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