343623561-8-20-2020-03-CC-BENN-BSWKU4-20200828081203

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 343623561
Report Date: 08/20/2020
Date Signed: 08/20/2020 02:47:59 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
07/23/2020 and conducted by Evaluator Kristal Goodell

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20200723153021

FACILITY NAME:	SACRAMENTO MONTESSORI SCHOOL		FACILITY NUMBER:	343623561
ADMINISTRATOR:	ROOSTAEYAN, ROBABEH MINA		FACILITY TYPE:	830
ADDRESS:	1111 D STREET		TELEPHONE:	(916) 949-5347
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95814
CAPACITY:	62	CENSUS: 14	DATE:	08/20/2020
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Linda Ramos		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Record Keeping: Licensee did not provide an admission agreement to the authorized representative.

INVESTIGATION FINDINGS:

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LPA Goodell contacted Director Yesenia Gutierrez and Administartor Linda Ramos to deliver findings for the complaint allegations listed above via phone FaceTime. LPA obatined a census of six infants with three teachers and eight toddlers with 2 staff. It was alleged that the licensee did not provide an admission agreement to parents upon change of ownership. During the investigation LPA toured the facility inside and out. LPA obtained documents related to the complaint allegation which included Admissions Agreements from children files. LPA also conducted interviews with reporting party, parents and staff. Through interviews LPA learned that during the transition period of the ownership, parents were issued the new Admissions Agreement and returned to facility. Information obtained from interviews and documents conflicted with the complaint allegation therefore LPA was unable to determine violation occurred. As a result the allegation is UNSUBSTANTIATED.

No Title 22 deficiency cited. Report was reviewed and discussed. Due to COVID-19 closures report and Notice of Site Visit were emailed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Kristal Goodell	TELEPHONE: (916) 216-7798
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2020

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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