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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371430
Report Date: 11/02/2022
Date Signed: 11/02/2022 02:31:23 PM

Unsubstantiated


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
08/26/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220826112256
FACILITY NAME:MONTESSORI OF LAGUNA NIGUELFACILITY NUMBER:
304371430
ADMINISTRATOR:PULIYANDA, ANNAFACILITY TYPE:
850
ADDRESS:31171 NIGUEL ROADTELEPHONE:
(949) 661-5437
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:60CENSUS: 38DATE:
11/02/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Anna Puliyanda, Director; and Abby Zhu, OwnerTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff caused an injury to child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 11/2/22. LPA met with Director Anna Puliyanda and Owner Abby Zhu, and LPA conducted a tour of the facility and census of children was taken. LPA observed 38 preschool children with 6 staff. On 8/26/22 a complaint was filed with the Department alleging the above.

During the course of the investigation, LPA interviewed six staff, five children, several parents, and conducted two separate physical plant inspections of each preschool classroom on 9/1/22 and 11/2/22. During LPA's observations of the classrooms, LPA observed facility staff maintaining compliance of children's personal rights. Staff were interviewed by LPA on 9/1/22 and during the interviews staff exhibited knowledge of children's personal rights regulations and stated they are always within compliance of the discussed Title 22 Regulations. A copy of these Title Regulations were provided to the facility for reference. Children were interviewed on 11/2/22 and did not provide any preponderance of evidence to support the above allegation.
(continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean ValenciaTELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
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-20220826112256
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: MONTESSORI OF LAGUNA NIGUEL
FACILITY NUMBER: 304371430
VISIT DATE: 11/02/2022
NARRATIVE
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(page 2)
A child mentioned in the allegation, a child #1, along with an adult #1 was interviewed on 9/28/22. Several parents were interviewed by LPA via phone call on 10/31/22. From their interviews, there was nothing stated to support a preponderance of evidence for the allegation. Reports related to the allegation from both OC Sheriff's Department and OC Child and Family Service Agency were obtained by LPA. These reports did not provide any preponderance of evidence to support the allegation.

Based on this gathered information over the course of LPA's investigation the allegation Staff caused an injury to child was not determined to have a preponderance of evidence to support it. In addition to this, LPA was unable to demonstrate that this allegation or that the facility at any point in the past was out of compliance of children's personal rights regulations. LPA was unable to make the determination from the information gathered that this allegation did not ever occur, or that there wasn't a preponderance of evidence to support this allegation, at some point. Due to this reasoning the most factual finding on the allegation, with all available information to LPA during the investigation is unsubstantiated. Based on all this information LPA gathered, the preponderance of evidence standard for the allegation was not met, therefore the allegation is found to be unsubstantiated. From all of the available information obtained by LPA during the course of the investigation, that there is insufficient evidence indicating that a staff caused an injury to a child. Based on all of the information LPA gathered, LPA was not able to determine that this allegation was false or untrue. Therefore LPA cannot make the determination that this allegation is unfounded; and the most accurate finding would remain at unsubstantiated.

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. Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. The 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 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Dean ValenciaTELEPHONE: (714) 215-6737
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2