376105007-6-28-2024-51-CC-RASW-D882PZ-20240816173511

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376105007
Report Date: 06/28/2024
Date Signed: 06/28/2024 02:03:48 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/03/2024 and conducted by Evaluator Patrick Ma

PUBLIC

COMPLAINT CONTROL NUMBER: 51-CC-20240503121558

FACILITY NAME:	LA JOLLA MONTESSORI SCHOOL		FACILITY NUMBER:	376105007
ADMINISTRATOR:	HEATHER DAVIS		FACILITY TYPE:	850
ADDRESS:	8745 LA JOLLA SCENIC DRIVE N.		TELEPHONE:	(858) 999-0364
CITY:	LA JOLLA	STATE: CA	ZIP CODE:	92037
CAPACITY:	174	CENSUS: 72	DATE:	06/28/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Heather Davis		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Facility is not providing adequate supervision resulting in multiple injuries to child
Staff use inappropriate discipline practices

INVESTIGATION FINDINGS:

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On 6/28/24 at 10:30AM, LPA Patrick Ma made an unannounced visit to continue investigating and deliver findings, for the complaint received on 5/3/24, regarding the above allegations. LPA met with Director, Heather Davis. LPA conducted staff and children's interviews.

Based on the information obtained during investigation interviews, observations, and pictures received it is determined that child C1 was injured due to facility not providing adequate supervision. Child C1 received multiple injuries including multiple bites by child C2 as a result of a lack of supervision. Although some injuries were witnessed and addressed immediate by staff, at least 2 bite incidents occurred without staff observing and another incident occurred while staff S2 was cleaning and not properly supervising C1, placing themself out of the line of sight of supervision resulting in C1 injury.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick Ma	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

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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Control Number 51-CC-20240503121558

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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: 06/28/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/01/2024 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229(a)(1) Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time…Supervision shall include visual observation. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director stated she will provide a training summary/agenda on supervision to the Department by 7/1/24 and conduct the training and provide sign-in sheet proof of all staff participation by 7/12/24.
	8 9 10 11 12 13 14	Based on the information obtained during investigation interviews, observations, and pictures received is determined that child C1 was injured due to facility not providing adequate supervision on 3 incidents which poses/posed an immediate health, safety or personal rights risk to children in care.	8 9 10 11 12 13 14
Type A 07/01/2024 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223(a)(3) Personal Rights: To be free from…unusual punishment…actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting...This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director stated she and staff S1 will review the training on Children’s Personal Rights on CCLD training website https://ccld.childcarevideos.org/family-child-care-providers/ and provide a summary of their understanding to the Department by 7/1/24.
	8 9 10 11 12 13 14	Based on investigation interviews, staff S1 used inappropriate discipline practices by withholding food from children. Although food was never withheld from a student for an entire meal, a student may need to wait until all the other children were finished or have it delay as a form of disciple which poses/posed an immediate health, safety or personal rights risk to children in care.	8 9 10 11 12 13 14

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick Ma	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 51-CC-20240503121558

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LA JOLLA MONTESSORI SCHOOL	FACILITY NUMBER: 376105007
	VISIT DATE: 06/28/2024

NARRATIVE

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Also, investigation interviews determined staff S1 used inappropriate discipline practices by withholding food from students. Although food was never withheld from a student for an entire meal, a student may need to wait until all the other children were finished or have it delayed as a form of discipline.
The allegations are valid because the preponderance of the evidence has been met, therefore, the above allegations is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12, Chapter 1) the deficiency is being cited on the attached LIC 9099D.

LPA Ma informed Director Heather Davis that this report dated 6/28/24 documents 2 Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Patrick Ma informed the Director to provide a copy of this licensing report dated 6/28/24 that documents any Type A citations 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 the Director, Heather Davis. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Renesha Askew	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Patrick Ma	TELEPHONE: (619) 767-2218
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC9099 (FAS) - (06/04)

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