343623399-5-12-2020-03-CC-BENN-BPKS8Y-20200513133955

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623399
Report Date: 05/12/2020
Date Signed: 05/12/2020 02:43:07 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
02/27/2020 and conducted by Evaluator Kelly Ferrara

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200227130921

FACILITY NAME:	GUIDEPOST MONTESSORI AT FOLSOM		FACILITY NUMBER:	343623399
ADMINISTRATOR:	KOMENTANI, KIARA		FACILITY TYPE:	830
ADDRESS:	777 LEVY ROAD		TELEPHONE:	(916) 836-8899
CITY:	FOLSOM	STATE: CA	ZIP CODE:	95630
CAPACITY:	18	CENSUS: 1	DATE:	05/12/2020
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Kiana Komentani		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff left day-care child in a soiled diaper for a long period of time.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kelly Ferrara conducted a tele-inspection with Director Kiana Komentani to deliver complaint findings for the above allegation. Director stated that there is currently one infant present with one staff. During the investigation, LPA conducted interviews with the Reporting Party, Director, and four staff.
It was alleged that on separate occasions, Child #1 has had diaper rashes due to being left in a soiled diaper for a long period of time. Statements were made during interviews with staff that the diaper changing protocol was being followed which included changing all of the children every two hours or sooner if needed. However, conflicting statements were made that Child #1 had a blistered rash which meant that the child was in a diaper for an extended period of time. Director stated that changes were made for Child #1 to be changed every hour to accommodate skin sensitivity. Due to conflicting statements, LPA determined the allegation to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it. Title 22 Regulations section 101428(b) regarding infant care personal services was reviewed with the Director and an exit interview was conducted. Notice of site was provided and Director understands it must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kelly Ferrara	TELEPHONE: (916) 425-5932
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2020

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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