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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 380506275
Report Date: 10/08/2024
Date Signed: 10/08/2024 03:41:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2024 and conducted by Evaluator Jonathan Tse
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240813173009
FACILITY NAME:MARIA MONTESSORI SCHOOL OF THE GOLDEN GATEFACILITY NUMBER:
380506275
ADMINISTRATOR:ALAVI, TARANEHFACILITY TYPE:
850
ADDRESS:62 LENOX WAYTELEPHONE:
(415) 731-8188
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94127
CAPACITY:24CENSUS: 15DATE:
10/08/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Director, Taraneh AlaviTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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-Facility staff left child in care unattended at a public park
INVESTIGATION FINDINGS:
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On 10/8/2024, at approximately 3:15PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced complaint investigation visit at the facility. LPA met with Director Taraneh Alavi (D1) and explained the purpose of the visit. Present during the visit was D1, two staff, and 15 preschool age children.

During the investigation of the allegation listed above, “Facility staff left child unattended at a public park”, LPA conducted interviews with relevant parties and record review. Based on interviews, LPA found that a child was left outside of the facility in a public park. D1 admitted to the allegation. Interviews with relevant parties indicated that a child was left behind in the park when returning to the facility. D1 stated that the child was retrieved as soon as possible and that the parents were notified immediately. LPA reviewed a written report regarding the communication between the facility and the parents. Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation that “Facility staff left child unattended at a public park” is found to be SUBSTANTIATED.
***Continued on Page Two***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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 4
Control Number 05-CC-20240813173009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MARIA MONTESSORI SCHOOL OF THE GOLDEN GATE
FACILITY NUMBER: 380506275
VISIT DATE: 10/08/2024
NARRATIVE
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***Page Two***
LPA informed D1 that a Type A deficiency would be cited today regarding supervision of children, and that a civil penalty of $500 would be assessed. A plan of correction was discussed and agreed upon.

LPA Tse informed facility representative Taraneh Alavi that this report dated 10/8/2024 documents one Type A citation which shall be posted for 30 consecutive days as there was immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Tse informed the facility representative to provide a copy of this licensing report dated 10/8/2024 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.

See LIC9099-D for Type A deficiency cited today regarding supervision of children. Appeal rights were printed and provided to D1. A notice of site visit was provided and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, Taraneh Alavi.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2024 and conducted by Evaluator Jonathan Tse
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20240813173009

FACILITY NAME:MARIA MONTESSORI SCHOOL OF THE GOLDEN GATEFACILITY NUMBER:
380506275
ADMINISTRATOR:ALAVI, TARANEHFACILITY TYPE:
850
ADDRESS:62 LENOX WAYTELEPHONE:
(415) 731-8188
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94127
CAPACITY:24CENSUS: DATE:
10/08/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Director, Taraneh AlaviTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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9
-Facility staff yelled at child in care
INVESTIGATION FINDINGS:
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On 10/8/2024, at approximately 3:00PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced complaint investigation visit at the facility. LPA met with Director Taraneh Alavi (D1) and explained the purpose of the visit. Present during the visit was D1, two staff, and NU preschool age children.

During the investigation of the above allegation, “Facility staff yelled at child in care”, LPA conducted site observations and interviews with relevant parties. Based on site observations and interviews, LPA did not observe or obtain direct evidence to support the allegation. Based on relevant information reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

Appeal rights were provided to D1. A notice of site visit was provided and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Director, Taraneh Alavi.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 05-CC-20240813173009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MARIA MONTESSORI SCHOOL OF THE GOLDEN GATE
FACILITY NUMBER: 380506275
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/11/2024
Section Cited
CCR
101229(a)(1)
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(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Licensee shall conduct a staff training regarding supervision and transition procedure to-and-from a location outside of the facility. This training shall include: headcount, name-to-face roll call, placement of teachers during walks, and communication between teachers.
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Based on interview, the licensee did not comply with the above by leaving a child behind at a public park. This posed an immediate risk to the health and safety of children in care.
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Licensee shall provide LPA a meeting agenda that has been signed by all staff members via email by 10/9/2024.
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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: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4