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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371529
Report Date: 08/22/2022
Date Signed: 08/22/2022 12:00:48 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
06/02/2022 and conducted by Evaluator Tina Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220602112440
FACILITY NAME:HERITAGE MONTESSORI SCHOOLFACILITY NUMBER:
304371529
ADMINISTRATOR:SERGI, GABREILAFACILITY TYPE:
850
ADDRESS:29000 PORTOLA PARKWAYTELEPHONE:
(949) 305-0086
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:120CENSUS: 55DATE:
08/22/2022
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director Gabreila SergiTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Staff inappropriately manages daycare child's behaviors
Staff did not properly supervise daycare child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tina Nguyen conducted an unannounced complaint inspection regarding the above allegation. LPA met with Director Gabriela Sergi, explained the reason for the visit, and toured around the facility. During the inspection, LPAs observed 8 staff members and 55 children present.
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 or exemptions.

On 06/02/2022, the Department received a complaint alleging Staff inappropriately manages daycare child's behaviors; Staff did not properly supervise daycare child. Complainant stated that on 5/25/2022, subject child (SC) had a tantrum at the daycare center, and as a form of discipline for not following instructions, staff #4 (S4) put child’s pants on inside out and shoes on the wrong feet. Complainant stated that other daycare children were laughing at child for being dressed in that manner. Complainant indicated that there was time where subject child having a tantrum, S4 put the child in a corner, left out of the classroom, then watched the child while SC was inside of the classroom having a tantrum for about 20 minutes.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
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 3
Control Number 06-CC-20220602112440
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: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 304371529
VISIT DATE: 08/22/2022
NARRATIVE
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On 06/07/2022, during the initial 10 days of inspection, LPA Nguyen interviewed 4 staff members. All interviewed staff denied of witnessing any staff discipline the child by putting the child’s pants on inside out and shoes on the wrong feet. Interviewed staff members indicated that they did not witness any children made fun at subject child. Interviewed staff members denied of witnessing S4 put the child in a corner, left out of the classroom.

Staff #3 (S3) is one of the teachers in the classroom where incident occurred. S3 indicated SC threw the tantrum the past couple of months; recently SC was taking of shoes throwing at friend and SC also took off SC’s pants. S3 stated that on the day of incident 5/25/22, S3 was at the lunch area with other children; S4 had to stand at the door so S4 can supervise SC and other children in the lunch area at the same time. SC took off SC’s pant and shoes, throwing the shoes, and walking around the classroom; S4 tried to help SC with putting the shoes and pant back; SC refused to let S4 helping SC; SC wanted to do it by self without any help; SC put the shoes on the right way, but the pants was inside out. S4 offered to help putting the pants but SC did not let S4 to change it back. S3 and S4 indicated that when S4 checked SC’s diaper, S4 asked to help SC to put the pants back the proper way but SC did not want to. In the afternoon, SC threw another tantrum and threw the shoes again. This time SC put shoes back the wrong way. S3 shared that SC did not want to let the teachers help. S4 indicated that during the day of incident, S4 offered multiple times to help SC changing the shoes and pants back the correct way but SC denied S4’s help; S4 stated S4 did not want to trigger another tantrum if S4 kept on asking SC to put on the pants and shoes the correct way. S4 also indicated that S4 told S2 about the incident so S2 can communicate with the parents about that. S4 stated that the school and subject child family have had multiple conferences on behavior problems with subject child and the family have always been willing to work with the facility.

During the inspection on 06/07/2022, LPA Nguyen interviewed three children. All interviewed children like their teachers. LPA was unable to interview SC since SC is too young to provide full statement. LPA Nguyen contacted five parents for interview, was able to talk to two parents. Interviewed parents did not have concern with the teachers and the facility.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20220602112440
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: HERITAGE MONTESSORI SCHOOL
FACILITY NUMBER: 304371529
VISIT DATE: 08/22/2022
NARRATIVE
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Based on the information gathered from LPA' interviews, observation, and reviewing records, there is insufficient evidence to corroborate the allegations of staff inappropriately manages daycare child's behaviors and staff did not properly supervise daycare child. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged staff inappropriately manages daycare child's behaviors and staff did not properly supervise daycare child did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted. The Notice of Site Visit was posted. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in a civil penalty of $100. “The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the facility representative. First level appeal is to Regional Manager, the address is above on the report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3