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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340315188
Report Date: 08/05/2021
Date Signed: 08/05/2021 03:24:24 PM



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
08/02/2021 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20210802154717
FACILITY NAME:VILLAGE MONTESSORI SCHOOLFACILITY NUMBER:
340315188
ADMINISTRATOR:WILLIS, LISA/AUERING, ERINFACILITY TYPE:
850
ADDRESS:5033 FAIR OAKS BLVDTELEPHONE:
(916) 488-6500
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:128CENSUS: 34DATE:
08/05/2021
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Erin AueringTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is not requiring children to wear face coverings indoors.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
At 1:40 p.m. on Thursday, August 5th, 2021, Licensing Program Analyst (LPA) Karyn Guerra conducted a complaint investigation and delivered findings. It was alleged that the facility is not requiring children to wear face coverings. Throughout the course of the investigation, LPA conducted interviews and made observations. LPA learned that facility is leaving it up to parents for whether or not their child should wear a face covering at the facility. Director stated they were not aware of the updates for the face coverings for child care. Director stated they will notify parents of face covering requirement for children indoors. Based on interviews conducted, it was determined that the facility was not requiring children to wear face coverings indoors. There is a preponderance of evidence to support the above allegation; therefore, the finding is SUBSTANTIATED. Technical advisory was conducted. Appeal rights were provided. Director's signature on this report acknowledges receipt of these rights. This report was reviewed with the Director. A notice of site visit was provided and shall be posted for a period of 30 days for parental review.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Karyn GuerraTELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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