406208351-9-28-2023-17-CC-MMUR-CW8VKT-20231002163052

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 406208351
Report Date: 09/28/2023
Date Signed: 09/28/2023 03:39:59 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/20/2023 and conducted by Evaluator Martina Jimenez

COMPLAINT CONTROL NUMBER: 17-CC-20230920164829

FACILITY NAME:	CHILDREN'S ACADEMY MONTESSORI SCHOOL, THE		FACILITY NUMBER:	406208351
ADMINISTRATOR:	TAMERA DAVIS		FACILITY TYPE:	850
ADDRESS:	711 ROLLING HILLS DRIVE		TELEPHONE:	(805) 239-9790
CITY:	PASO ROBLES	STATE: CA	ZIP CODE:	93446
CAPACITY:	40	CENSUS: 25	DATE:	09/28/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Tamera Davis		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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1. Licensee does not ensure facility is free from pests
2. Licensee does not ensure facility is in good repair.

INVESTIGATION FINDINGS:

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On 9/28/2023, at 9:45 AM, Licensing Program Analyst (LPA) Martina Jimenez conducted an unannounced inspection of the Children's Academy Montesori School to initiate a compliant investigation reference to the above allegations.

LPA met with Tamera Davis, Director, LPA Jimenez explained the nature and purpose of the investigation. LPAs observed 25 children in care and 4 staff at the time of the inspection.

The investigation included one (1) unannounced inspections, LPAs observation, interviews with the Director, staff, and, documents obtained during the inspection.

CONT LIC 9099-C & LIC 9102

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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 17-CC-20230920164829

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDREN'S ACADEMY MONTESSORI SCHOOL, THE	FACILITY NUMBER: 406208351
	VISIT DATE: 09/28/2023

NARRATIVE

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The allegations references the Licensee does not ensure facility is free from pests, and Licensee does not ensure facility is in good repair.

The Director stated the center has expired issues with the fence falling since the rains in January. The Director stated the center experiences an increase in spiders in the month of July. The Director stated that the center is treated and de-webbed the exterior of the buildings and fence line once a month. The Director also stated the fence in the children's play area was repaired in January.

Based on LPA’s observation, interviews with Director, staff, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Today, A Technical Advisory was issued during today's inspection. Appeal rights provided to Director. LPA provided the Director a Notice of Site (LIC 9213),LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY. This REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina Jimenez	TELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC9099 (FAS) - (06/04)

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