304371203-3-3-2022-06-CC-PMAA-CCLW3E-20220317165549

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371203
Report Date: 01/04/2022
Date Signed: 03/03/2022 04:35:32 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
12/13/2021 and conducted by Evaluator Alanna Gontarek

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20211213094952

FACILITY NAME:	LIMAI MONTESSORI ACADEMY		FACILITY NUMBER:	304371203
ADMINISTRATOR:	FAZREEN SHARIFF		FACILITY TYPE:	850
ADDRESS:	5309 BEACH BLVD		TELEPHONE:	(714) 690-0112
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90621
CAPACITY:	139	CENSUS: 43	DATE:	01/04/2022
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Amy Park		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Children are accepted with symptoms of illness

INVESTIGATION FINDINGS:

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This is an amended version of the original report created on 1/4/2022. This does not change the department’s findings. The purpose of this inspection was to conduct a follow up Complaint Investigation of the facility, and amend report from 1/4/2022.
On 12/13/21, a complaint was filed with the Licensing office for the above allegation. On 1/4/2022, upon arrival, Licensing Program Analyst (LPA) Alanna Gontarek met with Amy Park, Assistant Director. Census was taken. LPA observed the following: Maple Tree 15 children, 4 staff; Palm Tree 15 children, 2 staff; Bamboo Tree 10 children, 2 staff, and lemon Tree Room 3 children, 2 staff present upon arrival.

Per complainant, staff accept children into care with runny noses and dry coughs.

During inspection on 1/4/2022, LPA Gontarek conducted interviews with 3 staff, including the Assistant Director and 2 teachers, and 5 children.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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-20211213094952

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: 01/04/2022

NARRATIVE

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Per staff interviewed on 1/4/22, 3 staff stated are aware of, and are following, the facility's sick policy for ill children. Per all staff interviewed, staff stated that children wear masks upon arrival, are checked for fevers by morning staff, including Director, and the children under 2 years old not wearing masks upon arrival are checked for fevers, runny noses with green mucous, and coughs. Staff interviewed stated that if any of the symptoms listed above are observed at check-in, children will not be accepted into the school, and are sent home. Per staff interviewed (S2 and S3) stated that if sick symptoms are later observed, after drop off, child's authorized representative is called and child is quickly picked up and sent home. Staff #3 (S3) stated only one child (C8) was assessed with a fever at check in, and the child was not accepted into care, but (S3) cannot recall date. Staff #2 (S2) stated, has not observed any child with sick symptoms during check-in. Staff #1 (S1) stated there was one incident where Child #7 (C7) came to school with a cough, but confirmed it to be allergies by child's authorized representative.

LPA attempted to interview 5 children on 1/4/22, but was only able to interview 3 of the 5 children. LPA was unable to qualify the other 2 children, due to being non-verbal, and/or non-responsive. During interviews conducted with verbal children, one child stated has not observed other children with runny noses or coughs. One child stated has seen other children with runny noses and coughs. One child stated has not observed other children with runny noses or coughs in the school. The children’s statements were inconsistent, however all children stated that they wash their hands often while in school.

LPA made observations of children during check-in on 1/4/22, and observed children and staff wearing face masks upon check in/entry. On 1/4/22, LPA reviewed and obtained: a current children's roster, Parent Handbook including Safe Return Guidelines, and children’s records.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was completed with Amy Park, facility representative. The LIC 9099 report was reviewed and discussed with the Assistant Director. The Assistant Director was provided a copy of the appeal rights (LIC 9058 12/15) and the Assistant Director’s signature on this form acknowledges receipt of these rights. A "Notice of Site Visit" was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
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SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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