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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313623122
Report Date: 04/05/2022
Date Signed: 04/05/2022 01:29:13 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/08/2022 and conducted by Evaluator Jeremey McClain
COMPLAINT CONTROL NUMBER: 03-CC-20220208160941
FACILITY NAME:ROSEVILLE RANCH MONTESSORIFACILITY NUMBER:
313623122
ADMINISTRATOR:PUREWAL, SANJEETFACILITY TYPE:
850
ADDRESS:8449 SUNRISE BLVDTELEPHONE:
(916) 722-7772
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:41CENSUS: 26DATE:
04/05/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Sanj PurewalTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not administer medication to a child in care
Termination of a child violated the facility's admissions agreement.
INVESTIGATION FINDINGS:
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On April 5, 2022 Licensing Program Analyst (LPA) Jeremey McClain met with Director Sanj Purewal for the purpose of a complaint investigation. Upon arrival, LPA observed care and supervision of 26 children by four teachers in two separate areas. It was alleged that staff at the facility failed to administer a child’s medication, and that a violation of the admissions agreement occurred when a child was terminated. During the investigation, LPA conducted interviews with staff, reviewed the admissions agreement, and reviewed medication administration.

It was determined that a child was terminated due to inappropriate actions of their parents at the facility while other children were in care, which is supported by the facility’s admission agreement. Evidence gathered did not definitively support that a child in care was not administered their required medication.

The preponderance of evidence standard has not been met; therefore the allegations are determined to be unsubstantiated. Report Continued on the following page.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022
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 03-CC-20220208160941
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: ROSEVILLE RANCH MONTESSORI
FACILITY NUMBER: 313623122
VISIT DATE: 04/05/2022
NARRATIVE
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There were no Title 22 deficiencies as a result of the investigation. LPA reviewed this report with the Director and conducted an exit interview. . Appeal Rights were provided as well as Notice of Site Visit that must remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2