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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393617170
Report Date: 03/29/2022
Date Signed: 03/29/2022 04:10:36 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2022 and conducted by Evaluator Aruna Sridharan
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220110105330
FACILITY NAME:LODI MONTESSORIFACILITY NUMBER:
393617170
ADMINISTRATOR:NINO, JENNIFACILITY TYPE:
850
ADDRESS:2525 S. STOCKTON STTELEPHONE:
(209) 366-1012
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:90CENSUS: 31DATE:
03/29/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Jenni NinoTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Personal Rights: Day care children are not wearing masks
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Aruna Sridharan and Erwin Tjhia along with Licensing Program Manager (LPM) Bettina Engelman met with facility representative, Jenni Nino to deliver the findings of the complaint investigation regarding the allegation of “Daycare children are not wearing masks.”
During the investigation, LPA conducted interviews and observations pertaining to allegation. LPA also obtained documents like roster and communication emails sent from the facility to families. It was alleged that staff are not requiring children to wear masks during a period when indoor mask wearing was mandatory. On 1/19/2022, LPA observed only 3-5 children in each group of 20 to be wearing face masks. Interviews and emails corroborated the allegation that children are not required to wear masks and that it was optional. The interviews and document reviews revealed that it was left up to the parents whether children would wear masks at the facility.

Report continues on 9099C...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Aruna Sridharan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
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 2
Control Number 53-CC-20220110105330
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: LODI MONTESSORI
FACILITY NUMBER: 393617170
VISIT DATE: 03/29/2022
NARRATIVE
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The facility representative explained they are constantly working to provide a healthy environment that supports the children as well as the families in care. In addition, facility representative said, the facility tries to keep up to date with current guidelines and protocols to accommodate the new guidelines. LPA had provided updated COVID19 guidelines with the facility representative. LPM discussed the Title 22 regulations and the requirement to follow any state mandated guidelines.

Licensing staff observed that the facility had masks available to children. Director stated that they encourage families to follow through with mask recommendations.

Based on the interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Technical Violation citation was issued on the subsequent pages. An exit interview was conducted with the Administrator. Notice of Site Visit was provided and should remain posted for 30 days.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Aruna Sridharan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
LIC9099 (FAS) - (06/04)
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