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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842571
Report Date: 03/25/2022
Date Signed: 04/29/2022 01:27:46 PM


Document Has Been Signed on 04/29/2022 01:27 PM - It Cannot Be Edited

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:MONTESSORI KIDS LAND ACADEMYFACILITY NUMBER:
364842571
ADMINISTRATOR:BAKSHI, LALITAFACILITY TYPE:
830
ADDRESS:31587 ALTA VISTA DRIVETELEPHONE:
(909) 794-8530
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:12CENSUS: 5DATE:
03/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Lalita BakshiTIME COMPLETED:
12:30 PM
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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado conducted a case management inspection with Director Lalita Bakshi. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) received from the facility. The UIR was received by the licensing agency on 01/25/2022. On 02/11/2022, an inspection was conducted by LPA Mejorado. During the inspection on 02/11/2022 LPA reviewed facility records and conducted facility observations. During todays inspection, LPA toured the facility inside and outside, took census of daycare children, and verified facility associations. The following was discussed with Director.

On 01/24/2022 at 8:39 am a child was dropped off and a health check was conducted, where staff noticed the child had some eczema and some light bruising on their arms. At 9:39 am during a diaper change staff noticed the child had multiple old bruises on their legs and left knee, this was all noted on the facilities app called Brightwheel. At 11:26 am child was picked up and taken home. At 12:54 pm the child’s parent called the facility stating the child had bruises on their arms and they wanted to know what happened. Director informed parent they will be conducting an internal investigation and reviewing the camera footage for the classroom. Director discussed their findings with the child’s parent stating after their review it was documented the child came in with the bruises and offered the parent to come in and view the camera footage, however parent did not come in to watch the camera footage. On 01/25/2022 the facility contacted the parent to see if the child would be attending, parent responded stated the child will not be returning. That same day Director offered the parent a refund of their deposit, parent picked up the deposit and the child’s things.

Please see LIC809C
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2022
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: MONTESSORI KIDS LAND ACADEMY
FACILITY NUMBER: 364842571
VISIT DATE: 03/25/2022
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It was disclosed during interviews that the child came in with some light bruising and red spots on their arms and some old bruises on their legs. The facility uses the app Brightwheel to document their observations and if it is something serious the facility will contact the parent. The facility trains staff to handle children with open hands and use a technique where staff place their arms under the child’s arms to move them.

Based on information obtained during this investigation through interviews conducted, the review of pertinent documentation, and after receiving conflicting information, there is no information to prove that the child obtained the bruises while in care at the facility. At this time, there appears to be no violations of Title 22 Regulations found.

An exit interview was conducted, and a copy of this report was provided to Director. No deficiencies were cited during this inspection and a Notice of Site Visit was issued and shall remain posted for 30 days.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022
LIC809 (FAS) - (06/04)
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