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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370910
Report Date: 09/18/2019
Date Signed: 09/18/2019 02:32:47 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
09/10/2019 and conducted by Evaluator Gesine Connolly
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20190910143721
FACILITY NAME:SAN JUAN MONTESSORIFACILITY NUMBER:
304370910
ADMINISTRATOR:SHARAN, SANDHYAFACILITY TYPE:
850
ADDRESS:32143 ALIPAZ STREETTELEPHONE:
(949) 496-2927
CITY:SAN JUAN CAPISTRANOSTATE: CAZIP CODE:
92675
CAPACITY:45CENSUS: 23DATE:
09/18/2019
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Sandhya Sharan TIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Staff failed to provide adequate food service.
Staff failed to provide a safe environment for day-care children
Facility is unsanitary
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Connolly made a complaint inspection this date due to the above allegations received in the licensing office 9/10/19. At the time of arrival LPA met with assistant director Janet Corpin who accompanied the LPA on a tour of the facility. Census was taken. There were 23 children in care with four attending staff. Seventeen of the children were having their lunch in the patio covered area of the playground. Six children were napping in the napping room.
Director Sandhya Sharan arrived within 15 minutes of the LPA. A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances.

During today's complaint inspection three staff were interviewed, 4 children interviews conducted and facility toured. The LPA observed the facility to be clean and orderly. All floors were clean and safe. All toilets and hand washing equipment were in safe and sanitary conditions. The children furniture was observed clean and in good condition. Toys,age appropriate for ages served, were observed clean and in good condition.
continued on page two
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine ConnollyTELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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 2
Control Number 06-CC-20190910143721
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: SAN JUAN MONTESSORI
FACILITY NUMBER: 304370910
VISIT DATE: 09/18/2019
NARRATIVE
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page two
The play ground was observed maintained in a safe condition with outdoor toys and equipment clean and in good repair. The LPA observed three animal cages on the premises. One cage at the far end of the playground, out of the pathway of children in care, is set up for the care of a rabbit. This cage was observed clean and in good condition. A bird cage was observed within the facility. This bird cage was observed clean and in good condition. There is also an aquarium type cage within the office space that houses a large lizard. This was also observed clean and in good repair. The director was informed that based upon LPA's observations, there is not a preponderance of evidence to either support or negate the complaint allegation. The allegation the facility is unsanitary is, therefore, determined unsubstantiated.

In the outdoor covered patio area table toys, only, were observed stored in milk crates out of the reach of children. Staff interviews disclosed staff provide these toys at children requests. Children interview verified this procedure. The allegation staff failed to provide a safe environment for children in care was specific in that children climb chairs to reach the toys stored in milk crates and in these milk crates an extension cord was stored. The director was informed that based on the LPA's observations as well as staff and children interview the allegation children in care are not provided a safe environment by climbing chairs to reach toys and having access to an extension cord may have happened or is valid, however, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is unsubstantiated.

The allegation staff failed to provide adequate food service was discussed with the director and attending staff. Additionally the LPA arrived in time to observe lunch protocol. Lunches are brought from home. Staff related that if a child arrives at the facility without a lunch the parents are contacted. If through this contact lunch cannot be procured facility provides a nutritional lunch. LPA observed today that all children in care were provided either the drink brought from home or water. Staff related no child has been denied a proper lunch of a drink to accompany. Children interview confirmed lunch is brought from home and if needed a drink is provided by staff. The director was informed that there is not a preponderance of evidence to either support or negate the complaint allegation staff failed to provide adequate food service. The allegation is, therefore, determined unsubstantiated.
No deficiencies are cited. Notice of site visit posted. 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 of $100. Appeal Rights explained. A copy of their appeal rights (LIC 9058 12/15) and signatures on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Gesine ConnollyTELEPHONE: (714) 293-9314
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2