376600521-5-27-2021-10-CC-GSEA-C3SUZN-20210608160151

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600521
Report Date: 05/27/2021
Date Signed: 05/27/2021 10:51:36 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
05/19/2021 and conducted by Evaluator Otsanya Cameron

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210519142810

FACILITY NAME:	MONTESSORI SCHOOL OF OCEANSIDE-INFANT		FACILITY NUMBER:	376600521
ADMINISTRATOR:	BRENDA DODD		FACILITY TYPE:	830
ADDRESS:	3525 CANNON ROAD		TELEPHONE:	(760) 941-3883
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92056
CAPACITY:	24	CENSUS: 12	DATE:	05/27/2021
		UNANNOUNCED	TIME BEGAN:	11:58 AM
MET WITH:	Brenda Dodd- Director		TIME COMPLETED:	04:59 PM

ALLEGATION(S):

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Staff did not properly supervise daycare child .

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility to initiate a complaint investigation for the above allegation(s). LPA met with Center director Brenda Dodd. LPA toured the facility and confirmed the census of 12.

On 5/19/2021, The department received a complaint of staff did not properly supervise day care children while outside.

During the investigation, LPA observed staff in the play yard and interviewed staff. Although staff stated they always position themselves to see the children, it is unclear if staff has always properly supervised
children while outside.

Based on observation, the complaint allegation is UNSUBSTANTIATED; meaning although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegations occurred.
Continued on LIC9099c

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: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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-20210519142810

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-INFANT	FACILITY NUMBER: 376600521
	VISIT DATE: 05/27/2021

NARRATIVE

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An exit interview was conducted with Director Brenda Dodd and a copy of this report was emailed to the Director. No deficiencies were cited.

LPA Cameron provided the Director with a copy of this report and notice of site visit via email with an electronic “read receipt”. LPA asked the Director to acknowledge receipt of the email. The electronic read receipt of the emailed report acknowledges receipt of this report. Director agrees to post the notice of site visit 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: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

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