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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105007
Report Date: 08/23/2024
Date Signed: 09/18/2024 08:47:52 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2024 and conducted by Evaluator Gerald Poindexter
PUBLIC
COMPLAINT CONTROL NUMBER: 51-CC-20240718123841
FACILITY NAME:LA JOLLA MONTESSORI SCHOOLFACILITY NUMBER:
376105007
ADMINISTRATOR:HEATHER DAVISFACILITY TYPE:
850
ADDRESS:8745 LA JOLLA SCENIC DRIVE N.TELEPHONE:
(858) 999-0364
CITY:LA JOLLASTATE: CAZIP CODE:
92037
CAPACITY:174CENSUS: 71DATE:
08/23/2024
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Heather Davis TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff did not prevent daycare child from engaging in inappropriate behavior
INVESTIGATION FINDINGS:
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*************THIS IS AN AMENDED REPORT DELIVERED ON 9/18/24***************
On 8/23/24 at 9:10 AM, LPA Gerald Poindexter made an unannounced visit to deliver findings for the complaint received on 7/18/24, regarding the above allegation. LPA met with Director, Heather Davis.

Based on the information obtained during investigation interviews, facility records, and other pertinent documentation, the allegation is valid and verifiable as follows:

It is determined that the facility did not provide sufficient care and supervision in that Child C1 was subject to unkind behavior from other children, C2 and C3, on more than one occasion. Despite previous incidents and awareness of ongoing tensions, effective, preventative solutions were not implemented and a final encounter between children C1 and C2 resulted in C1 sustaining a minor injury requiring first aid.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 51-CC-20240718123841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: LA JOLLA MONTESSORI SCHOOL
FACILITY NUMBER: 376105007
VISIT DATE: 08/23/2024
NARRATIVE
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***THIS IS AN AMENDED DOCUMENT DELIVERED ON 9/18/24***

The above allegation is found to be SUBSTANTIATED. The allegation is valid because the preponderance of evidence has been met.

See LIC9099D for Type deficiency cited.

LPA Poindexter informed Heather Davis, center director that this report dated 8/23/24 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Poindexter informed the center director to provide a copy of this licensing report to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Heather Davis, center director. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal rights were provided.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 51-CC-20240718123841
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LA JOLLA MONTESSORI SCHOOL
FACILITY NUMBER: 376105007
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/22/2024
Section Cited
CCR
101229(a)
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 ***THIS IS AN AMENDED DOCUMENT DELIVERED ON 9/18/24***
101229(a) Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidenced by:
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Director stated she will provide a training summary/agenda on supervision 8/30/24 to the Department by and conduct the training and provide sign-in sheet proof of all staff participation by 9/22/24.
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Based on the information obtained during interviews and review of pertinent documentation, staff did not provide sufficient care and supervision to prevent unkind interactions between children, resulting in C1 sustaining a minor injury by C2. This poses an immediate health, safety, or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3