376600520-8-22-2019-10-CC-DPAR-BGSL5U-20191009082743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600520
Report Date: 08/22/2019
Date Signed: 08/22/2019 01:06:44 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/05/2019 and conducted by Evaluator Otsanya Cameron

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20190805092310

FACILITY NAME:	MONTESSORI SCHOOL OF OCEANSIDE-PRE SCHOOL		FACILITY NUMBER:	376600520
ADMINISTRATOR:	BRENDA DODD		FACILITY TYPE:	850
ADDRESS:	3525 CANNON ROAD		TELEPHONE:	(760) 941-3883
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92056
CAPACITY:	125	CENSUS: 78	DATE:	08/22/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Brenda Dodd		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Lack of supervision resulting in daycare child being bit by other daycare child.
Daycare child sustained unexplained injury while in care.

INVESTIGATION FINDINGS:

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On 8/22/2019 Licensing Program Analysts (LPAs) Otsanya Cameron and Destinee Hogue conducted an unannounced complaint inspection for the purpose of delivering the findings for the above allegations. Upon arrival, LPAs met with Director Brenda Dodd, toured facility, took census and reviewed facility records. The following was discussed with Director Brenda Dodd:

During an initial 10-day complaint investigation conducted on 8/13/2019, LPAs reviewed and retrieved facility records.

The allegations state there was a lack of supervision which resulted to a child in care receiving unexplained injuries from another child.
LPA’s reviewed the Incident/Accident procedures as well as incident/accident reports for the children in question from March 2019 to August 2019. LPA’s obtained an incident report that states a child came home with an unusual mark on their right arm, however there are no reports that document a lack of supervision

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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 10-CC-20190805092310

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: MONTESSORI SCHOOL OF OCEANSIDE-PRE SCHOOL	FACILITY NUMBER: 376600520
	VISIT DATE: 08/22/2019

NARRATIVE

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resulting in a child biting another child. LPA was able to contact reporting party but unable to obtain additional information regarding the reported allegations.

Due to the conflicting information reported and additional information obtained through interviews and records, the above complaint allegations are considered unsubstantiated. No deficiencies are cited. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Signature at the bottom of this report confirms receipt.

Notice of Site Visit was posted during this visit and will remain posted for 30 days.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya Cameron	TELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC9099 (FAS) - (06/04)

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