334843996-4-15-2021-09-CC-JGIE-C24U8G-20210415152130

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334843996
Report Date: 04/15/2021
Date Signed: 04/15/2021 03:21:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	BELLTOWER MONTESSORI ACADEMY		FACILITY NUMBER:	334843996
ADMINISTRATOR:	LYNDY MOORE		FACILITY TYPE:	850
ADDRESS:	1187 MAGNOLIA AVENUE		TELEPHONE:	(951) 432-7787
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY:	144	CENSUS: 139	DATE:	04/15/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Lyndy Moore		TIME COMPLETED:	03:40 PM

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On 04/15/21 at 02:00pm Licensing Program Analyst (LPA) Justin Giese conducted a Tele-inspection to the facility to follow up on an Unusual Incident Report (UIR) that was submitted to the Regional Office on 04/07/21. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this investigation was conducted via Tele-inspection. LPA met with Facility Director Lyndy Moore to discuss the purpose of the visit. LPA took census, reviewed records, toured the facility (virtually) and conducted interviews with staff.

On April 07, 2021 Facility Director self-reported an incident that occurred with Child #1 on April 6, 2021. UIR stated Child #1 was crying and distraught while in his classroom and playground. Child #1’s behavior was observed by three staff members. Child #1 disclosed to Staff and Director “they were picturing their teacher’s private parts and they were thinking about seeing them naked and touching their private parts together.” UIR stated Child #1’s conversations with staff were discussed with their Parent/Guardian when child was picked up from the facility. UIR stated Child #1’s Parent/Guardian emailed Facility Director later that same evening stating Child #1 was crying and distraught due to children inappropriately touching one another at the facility. Parent/Guardian also indicated Child #1 would be dis-enrolled.

LPA conducted interviews with Facility Director and Staff during the tele-inspection. Director and Staff interviews both corroborate information provided in the UIR. Staff and Director stated that children do not inappropriately touch one another. No allegations or occurrences of inappropriate touching have been recorded at the facility.

Continued on LIC809C

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin Giese	TELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BELLTOWER MONTESSORI ACADEMY	FACILITY NUMBER: 334843996
	VISIT DATE: 04/15/2021

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LPA was unable to interview Child #1 due to them not being present in the facility at the time of tele-inspection. It was alleged by the Parent/Guardian of Child #1 that children inappropriately touch one another at the facility. The provided UIR and interviews with staff did not indicate the names or likeness of the potential involved individuals.

Based on LPA's observations, interviews and information obtained during the visit, there appeared to be no violation of Title 22 Regulations pertaining to the reported incident.

An exit interview was conducted with facility Director, Lyndy Moore. LPA Giese provided the Director with a copy of this report via email, LPA asked the Director to acknowledge receipt of the email. The electronic reply to the emailed report acknowledges receipt of this report. A copy of this report and notice of site visit was emailed to the Director during this Tele-inspection on April 15, 2021. Notice of site visit must be displayed in a prominent location for the next 30 days.

No deficiencies were cited.

A copy of this report must be made available for the next three years.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin Giese	TELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021

LIC809 (FAS) - (06/04)

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