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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334841371
Report Date: 08/20/2021
Date Signed: 08/24/2021 09:20:46 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/18/2021 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210818124005
FACILITY NAME:TEMECULA MONTESSORI ACADEMYFACILITY NUMBER:
334841371
ADMINISTRATOR:SONES, MELINDAFACILITY TYPE:
830
ADDRESS:27635 JEFFERSON AVENUETELEPHONE:
(951) 676-6464
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY:30CENSUS: 7DATE:
08/20/2021
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Melinda SonesTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Staff do not adhere to COVID-19 protocols.
INVESTIGATION FINDINGS:
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Licensing Program Analysts LPAs) James Wilkerson and Joanne Domingo arrived at this facility to conduct an investigation into the above allegations. LPAs toured the facility and conducted census. There is an allegation that staff in the facility are not adhering to COVID-19 protocols by not fwearing a face covering during this time of the COVID-19 pandemic. The following was observed:

On 08/20/21, Director, Melinda Sones did not ensure the personal rights of persons in care to safe and healthful accommodations and engaged in conduct inimical to the health, welfare, and safety of persons in care, in that the lone teacher, Philomena (Nina) Morgan was not wear a face covering while in the facility, as required by the California Department of Public Health Guidance on the Use of Face Coverings issued June 18, 2020 and updated November 16, 2020, and an individual mask exception did not apply. Based on LPA’s observations and interviews conducted, that staff are not wearing face coverings and are not requiring children to wear face coverings, the above allegations are SUBSTANTIATED. See LIC 9099C for continuance of this report.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
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 3
Control Number 10-CC-20210818124005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: TEMECULA MONTESSORI ACADEMY
FACILITY NUMBER: 334841371
VISIT DATE: 08/20/2021
NARRATIVE
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See LIC 9099D for deficiency cited.

A Notice of Site Visit was posted.

An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Ms. Sones on this date.

A copy of this report must be made available to the public, upon request for three years.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 10-CC-20210818124005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TEMECULA MONTESSORI ACADEMY
FACILITY NUMBER: 334841371
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights - (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by staff members failure to wear face coverings as required by
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Director, Melinda Sones agrees to stay in compliance with requirements set forth by the California Department of Public Health and submit in writing that the facility will do so. Ms. Sones agrees to submit the written statement to CCL by 08/23/21.
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California Department of Public Health. This is a potential risk to the health and safety of children in care.
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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: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3