343622735-9-20-2019-03-CC-KPES-BGK3HF-20191001181552

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343622735
Report Date: 09/20/2019
Date Signed: 09/20/2019 08:23:59 AM

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
07/15/2019 and conducted by Evaluator Karyn Guerra

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20190715172958

FACILITY NAME:	MONTESSORI CHILDREN'S SCHOOL		FACILITY NUMBER:	343622735
ADMINISTRATOR:	TBD		FACILITY TYPE:	850
ADDRESS:	5325 ENGLE ROAD, SUITE 170		TELEPHONE:	(916) 481-0100
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	75	CENSUS: 17	DATE:	09/20/2019
		UNANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Galina Brodovinskiy		TIME COMPLETED:	08:45 AM

ALLEGATION(S):

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Personal Rights-Facility staff allowed child to cry for an extended period
Personal Rights-Facility staff restrained child

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Karyn Guerra and Elvira Sierra conducted an unannounced complaint inspection to deliver findings for the above allegations. LPAs met with the Licensee, Galina Brodovinskiy who lead LPAs on a tour of the facility. Census included 15 preschool age children with 3 staff, and 2 toddler children with 1 staff. All individuals subject to criminal background review have obtained clearance. It was alleged that facility staff allowed child to cry for an extended period, and that facility staff restrained child. Interviews and observations were conducted, and documentation was received. Based on conflicting information that was obtained, the alleged violations were found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Keven Peters	TELEPHONE: (916) 216-7796
LICENSING EVALUATOR NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

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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