304370845-1-21-2021-06-CC-JHAN-BXN2BN-20210126161521

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370845
Report Date: 01/21/2021
Date Signed: 01/21/2021 10:47:45 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
11/05/2020 and conducted by Evaluator Cindy Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20201105111213

FACILITY NAME:	ACE MONTESSORI PRESCHOOL		FACILITY NUMBER:	304370845
ADMINISTRATOR:	PAL, DHARMENDRA		FACILITY TYPE:	850
ADDRESS:	24602 RAYMOND WAY SUITE #1		TELEPHONE:	(949) 735-2905
CITY:	LAKE FOREST	STATE: CA	ZIP CODE:	92630
CAPACITY:	90	CENSUS: 8	DATE:	01/21/2021
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director, Pal, Dharmendra		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Tele-Inspection due to COVID-19 State of Emergency

Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced tele-inspection to investigate the above allegation. This is a continuation of the investigation initiated on 11/18/2020. LPA met with Director, Dharmendra Pal. LPA observed 8 preschool age children with 2 staff members. During today's inspection staffing and capacity ratios were met. A review of staff criminal clearance records on this date 1/21/21 indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 11/05/2020 a complaint was filed with the Licensing Office. Complainant alleged facility is operating out of ratio. Complainant stated on 11/05/20 at 10:45am, there were 15 preschoolers with only one teacher. Complainant also noticed that there were two children crying and no one was consoling them.

(Continued on Page 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2021

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-20201105111213

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: ACE MONTESSORI PRESCHOOL	FACILITY NUMBER: 304370845
	VISIT DATE: 01/21/2021

NARRATIVE

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Page 9099C

During the investigation LPA conducted 2 physical inspections via tele-inspection, interviewed 3 staff members, 7 children, obtained staff timecard, children’s sign in/out and a copy of the children's roster. All staff interviewed denied of operating out of ratio. LPA completed a review of the week of 11/02/20 to 11/06/20 of staff timecards, children’s sign-in/out sheets, and daily schedules do not support the allegation. Based on the records reviewed, there appeared to be enough staff present to maintain ratio with the number of children signed in. However, there is no way to determine where the staff were stationed within the facility. All parents interviewed stated the facility is good. No parent expressed any concerns about facility being out of ratio.

Based on LPA observations, 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.

An exit interview was conducted with the director, Dharmendra Pal, via tele-inspection on this date. Appeal Rights were reviewed and explained. A copy of this report and Appeal Rights (LIC 9058 1/16) were emailed to the director. First level appeals should be sent to the Regional Manager to the address listed above. The director will email a received acknowledgement as her signature for this report due to the tele-inspection delivery by typing, “I have read and received the Investigation Report, I acknowledge receipt” in the subject line of the return email.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2021

LIC9099 (FAS) - (06/04)

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