376701242-2-13-2020-20-CC-JCAO-BLXR5W-20200219114348

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701242
Report Date: 02/13/2020
Date Signed: 02/13/2020 04:09:26 PM

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
11/05/2019 and conducted by Evaluator Michelle Hood

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20191105102633

FACILITY NAME:	FRENCH MONTESSORI PRESCHOOL OF SAN DIEGO, THE		FACILITY NUMBER:	376701242
ADMINISTRATOR:	CLAUDIA HUERTA		FACILITY TYPE:	850
ADDRESS:	4011 OHIO STREET		TELEPHONE:	(619) 501-3787
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY:	95	CENSUS: 54	DATE:	02/13/2020
		UNANNOUNCED	TIME BEGAN:	03:10 PM
MET WITH:	Emilie Pulido, Licensee		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility staff are failing to report incidents to authorized representative.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Michelle Hood and Dana Stevens completed an unannounced inspection for delivering the finding for the above allegation. Upon arrival, LPAs met with Licensee to discuss final findings on allegation facility staff are failing to report incidents to authorized representative. Based on Licensee's admission, it was determined that on 10/24/2019, child’s parent informed facility staff that parent visually assessed child at home and revealed visible marks on child’s arm. Licensee admitted she did not contact the Department within 24 hours or submit an Incident Report within 7 days. The preponderance of evidence standard has been met that, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

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 20-CC-20191105102633

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: FRENCH MONTESSORI PRESCHOOL OF SAN DIEGO, THE	FACILITY NUMBER: 376701242
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/13/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/13/2020 Section Cited CCR 101212(d)(1)(C)	1 2 3 4 5 6 7	101212(d)(1)(C) Reporting Requirements....a report shall be made to the Dept. by telephone or fax within the Dept's next working day…a written report containing the information specified…shall be submitted to the Depart. within seven days following the occurrence of… any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee submitted LIC 624 - Unusual/Injury report on 11/15/2019.
	8 9 10 11 12 13 14	Licensee admitted she did not contact the Department within 24 hours or submit an Incident Report within 7 days. Based on Licensee's admission, it was determined that on 10/24/2019, child’s parent informed facility staff that parent visually assessed child at home and revealed visible marks on child’s arm. Facility failed to report the incident once staff became aware of visible marks on child’s arm. This poses a potential risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC9099 (FAS) - (06/04)

Page: 4 of 4

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
11/05/2019 and conducted by Evaluator Michelle Hood

COMPLAINT CONTROL NUMBER: 20-CC-20191105102633

FACILITY NAME:	FRENCH MONTESSORI PRESCHOOL OF SAN DIEGO, THE		FACILITY NUMBER:	376701242
ADMINISTRATOR:	CLAUDIA HUERTA		FACILITY TYPE:	850
ADDRESS:	4011 OHIO STREET		TELEPHONE:	(619) 501-3787
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92104
CAPACITY:	95	CENSUS:	DATE:	02/13/2020
		UNANNOUNCED	TIME BEGAN:	03:10 PM
MET WITH:	Emiliee		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility staff handled daycare child roughly.
Daycare child has unexplained injuries.
Facility staff are allowing inappropriate interactions between daycare children.
Facility staff is forcing daycare child to nap.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Michelle Hood and Dana Stevens arrived to conduct an unannounced inspection to deliver complaint findings for the above listed allegations. LPAs met with Licensee. It was alleged facility staff handled daycare child roughly, daycare child has unexplained injuries, facility staff are allowing inappropriate interactions between daycare children, and facility staff is forcing daycare child to nap. LPAs attempted to interview Reporting Party; however, LPAs were unsuccessful. Based on staff, daycare parents and daycare children interviews, there were no observations of any staff member handling daycare child roughly; however, Licensee stated on 10/23/2019, staff held child’s arm tightly when staff found child hiding behind a shelf in classroom. According to facility staff, child was not exhibiting any signs of distress. Daycare parents interviewed stated they have not observed any unexplained injuries on their children in care. Facility staff stated when they observe children in care playing rough, they separate the children immediately. Facility staff, daycare parents and daycare children interviewed stated that daycare children are never forced to nap. Children have the option to read a book or play quietly. Based on evidence obtained, LPAs are unable to determine if facility staff handled daycare child roughly, daycare child has unexplained injuries, facility staff are allowing inappropriate interactions between daycare children, and facility staff is forcing daycare child to nap.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 20-CC-20191105102633

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: FRENCH MONTESSORI PRESCHOOL OF SAN DIEGO, THE	FACILITY NUMBER: 376701242
	VISIT DATE: 02/13/2020

NARRATIVE

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Due to conflicting statements obtained during the course of the investigation, the above allegations are found to be UNSUBSTANTIATED meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Licensee was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPAs observed that LIC 9213 was posted. An exit interview was conducted.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (619) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC9099 (FAS) - (06/04)

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