<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371203
Report Date: 05/20/2021
Date Signed: 05/20/2021 12:54:59 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
03/05/2021 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20210305110448
FACILITY NAME:LIMAI MONTESSORI ACADEMYFACILITY NUMBER:
304371203
ADMINISTRATOR:JANKI SHAHFACILITY TYPE:
850
ADDRESS:5309 BEACH BLVDTELEPHONE:
(714) 690-0112
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:139CENSUS: 62DATE:
05/20/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director, Fazreen ShariffTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Staff yell at day care children
Personal Rights - Staff interacted and say inappropriate comments to day-care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 ***Tele-Investigation***

Licensing Program Analyst (LPA), Mila Quinto conducted an investigation visit to the facility via FaceTime to deliver the findings of the complaint initiated on 03/15/2021 regarding personal rights of staff member yell at day care children and staff member interacted and say inappropriate comments to children in care. LPA met with new Director, Fazreen Shariff. The Covid-19 Emergency Response questionnaires were asked. LPA observed the following: Maple Tree Room- 10 children, 2 staff; Lemon Tree Room;-9 children, 2 staff; Pine Tree Room- 23 children, 2 staff; Bamboo Tree Room- 20 children; 3 staff.

A review of facility personnel report summary on this date (5/20/21) indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
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 6
Control Number 06-CC-20210305110448
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371203
VISIT DATE: 05/20/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2

The complainant alleged staff 6 (S6) yell at day-care children. During the investigation, LPA conducted interviews on 3/21/21, 5/05/21, 5/11/21 and 5/12/21 with 9 staff members which includes the previous director, Janki Shah; 8 preschool children and 5 of the 11 parents contacted were interviewed. LPA also reviewed the children’s roster and staff’s file. The 4 of the 9 staff members indicated they have not witnessed S6 yell at day care children. The 5 of the 9 staff interviewed stated they have witnessed S6 yell at day care children. The staff indicated S6 constantly yell at children and more often when children do not pay attention or misbehave. 1 staff also stated, S6 is aware not to speak in the loud yelling tone of voice when the director is present. The staff have brought this to the director’s attention. According to the director, a meeting was held with S6 and discussed to work on the tone of voice when speaking with children. No disclosures were made from the 8 preschool children and 5 parents regarding a staff member yell at day care children.
Based on the gathered information from interviewing staff, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 1, 101223 (a)(1) Personal Rights is being cited on the attached LIC9099D.

The complainant alleged staff 6 (S6) interacted and say inappropriate comments to day-care children. During the investigation, LPA conducted interviews on 3/21/21, 5/05/21, 5/11/21 and 5/12/21 with 9 staff members which includes the previous director, Janki Shah; 8 preschool children and 5 of the 11 parents contacted were interviewed. The 4 of the 9 staff members indicated they have not witnessed a staff member say inappropriate comments to day care children. The 5 of the 9 staff interviewed stated they have witnessed Staff 6 (S6) say inappropriate comments to day care children. Based on the interviews with the 5 staff members, LPA determined the inappropriate comments were made when children do not listen or when children do not understand the curriculum. The 5 staff stated, S6 would tell the children in a high tone or mocking tone, “How old are you?”; You’re not listening, I’m gonna tell your mommy.”; “Are you sure you’re 4 or 5 years old? How come you don’t know this?” No disclosures were made from the 8 preschool children and 5 parents regarding a staff member interacted and say inappropriate comments to day care children.
Based on the gathered information from interviewing staff, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division & Chapter 1, 101223 Personal Rights (a)(3) is being cited on the attached LIC9099D.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20210305110448
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371203
VISIT DATE: 05/20/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 3

This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report. All appeals must be in writing and received by the licensing office within 15 business days.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 06-CC-20210305110448
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371203
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/03/2021
Section Cited
CCR
101223(a)(1)
1
2
3
4
5
6
7
101223(a)(1) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Director stated will provide personal rights training to Staff 6 and all staff. Director will submit an email with information and list of staff who attended the training by June 3, 2021. The director will also make an observation on staff 6 to ensure no personal rights is violated.
8
9
10
11
12
13
14
Based on interviews with 5 staff members, Staff 6 constantly yell at children and more often when children do not pay attention or misbehave. This is an immediate risk to the personal rights to the children in care.
8
9
10
11
12
13
14
Type A
05/27/2021
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
101223(a)(3) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment… humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature… This requirement is not met as evidenced by:
1
2
3
4
5
6
7
The Director stated will provide personal rights training to Staff 6 and all staff. Director will submit an email with information and list of staff who attended the training by June 3, 2021. The director will also make an observation on staff 6 to ensure no personal rights is violated.
8
9
10
11
12
13
14
Based on interviews with 5 staff members who witnessed Staff 6 (S6) say inappropriate comments to day care children when children do not listen or do not understand the curriculum. This is an immediate risk to the personal rights to the children in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 6
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
03/05/2021 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20210305110448

FACILITY NAME:LIMAI MONTESSORI ACADEMYFACILITY NUMBER:
304371203
ADMINISTRATOR:JANKI SHAHFACILITY TYPE:
850
ADDRESS:5309 BEACH BLVDTELEPHONE:
(714) 690-0112
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:139CENSUS: 62DATE:
05/20/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Director, Fazreen ShariffTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights - Staff handled a daycare child in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 ***Tele-Investigation***

Licensing Program Analyst (LPA), Mila Quinto conducted an investigation visit to the facility via FaceTime to deliver the finding of the complaint initiated on 03/15/2021 regarding personal rights of staff handled day-care children in a rough manner. LPA met with the new Director, Fazreen Shariff. The Covid-19 Emergency Response questionnaires were asked. LPA observed the following: Maple Tree Room- 10 children, 2 staff; Lemon Tree Room;-9 children, 2 staff; Pine Tree Room- 23 children, 2 staff; Bamboo Tree Room- 20 children; 3 staff.

A review of facility personnel report summary on this date (5/20/21) indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20210305110448
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371203
VISIT DATE: 05/20/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2

The complainant alleged a staff member handled a daycare child in a rough manner. LPA interviewed 9 staff members which includes the previous director; 8 preschool children and 5 of the 11 parents contacted were interviewed. The 8 of the 9 staff interviewed stated they have not witnessed a staff handle a child in a rough manner; 1 staff stated who witnessed a staff member grab a child by the legs with force during circle time. The 8 preschool children interviewed did not indicate being handled in a rough manner by a staff member. The 5 parents interviewed provided positive feedback and expressed satisfaction of care received for their child.

Based on LPA’S interviews with 8 of the 9 staff members, 8 preschool children and 5 parents did not witness a staff member handle a child in a rough manner. Although the allegation may have happened or is valid, the Department was not able to determine the allegation of violation of personal rights of which a staff member handled a child in a rough manner. There was not enough preponderance of evidence to prove the violation of personal rights, therefore the allegation is unsubstantiated.

Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. (The "Read Receipt" or licensee's email is in lieu of a signature). First level appeal is to Regional Manager, address is above on the report.

Exit interview was conducted.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Mila QuintoTELEPHONE: (714) 293-6471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
LIC9099 (FAS) - (06/04)
Page: 6 of 6