304370495-8-17-2021-06-CC-JHAN-C67V23-20210824160227

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370495
Report Date: 08/16/2021
Date Signed: 08/17/2021 09:53:28 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
08/09/2021 and conducted by Evaluator Dean Valencia

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210809102952

FACILITY NAME:	IRVINE MONTESSORI SCHOOL		FACILITY NUMBER:	304370495
ADMINISTRATOR:	CABRERA, RUBY		FACILITY TYPE:	850
ADDRESS:	17575 CARTWRIGHT ROAD		TELEPHONE:	(949) 752-7217
CITY:	IRVINE	STATE: CA	ZIP CODE:	92614
CAPACITY:	197	CENSUS: 53	DATE:	08/16/2021
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Ruby Cabrera, Director		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff are not wearing face coverings.

INVESTIGATION FINDINGS:

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*this is an amended document *Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 8/16/2021. LPA met with the director Ruby Cabrera, who guided LPA on a tour of the facility and census of children/staff was documented. 53 children and 11 staff were present during the inspection. During today’s inspection it was observed the facility was operating within its licensed capacity and within compliance of ratio. On 8/9/2021 a complaint was filed with the Department alleging staff are not wearing face coverings. During the course of the investigation, LPA interviewed the director and conducted a physical plant inspection and observation of the classrooms.
During the interview with director, it was disclosed that there was some confusion about the covid19 Guidance from CDPH for child care facilities after the state order on 6/15/2021 opening the state. LPA stated to director that on 6/30/2021 a PIN (provider infomration notice) was posted on the licensing website advising child care facilities of the curent covid19 Guidance from CDPH, including the face covering guidance for staff and children. This PIN and current CDPH Guidance was provided for director.
(continued on LIC9099C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

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-20210809102952

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: IRVINE MONTESSORI SCHOOL	FACILITY NUMBER: 304370495
	VISIT DATE: 08/16/2021

NARRATIVE

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(page 2)
During the physical plant inspection and classroom observations LPA observed that most staff did not have face coverings on, and were indoors inside classrooms with children. It was also observed that nearly all of the children in care over the age of 2, did not have a face covering on.

Based on the interview with the director and the observations made by LPA during the physical plant inspection and classroom observations, LPA has determined that the staff are not wearing face coverings. This allegation has been substantiated. The facility is not abiding by CA Dep of Health's covid19 Guidance for child care facilities, and LPA will be following up with the facility to ensure they have this Guidance available to review and adhere to this Guidance from today forward. Based on this gathered information, the preponderance of evidence standard has been met, and therefore the above allegation is found to be substantiated.

The director was provided a Technical Advisory note, LIC9102, and how the facility will return to compliance of the CDPH covid19 Guidance for child care facilities is explained on this form. Director will be notifying all staff, and parents that face coverings are required to be worn when indoors for all people age 2 and above.

The Licensee was provided a copy of appeal rights and their signature on this form acknowledges receipt of these rights. The licensee was also provided a copy of current CDPH covid19 Guidance for child care facilities..

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean Valencia	TELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC9099 (FAS) - (06/04)

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