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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434408018
Report Date: 07/19/2022
Date Signed: 07/19/2022 12:06:40 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/16/2022 and conducted by Evaluator James G Santos
COMPLAINT CONTROL NUMBER: 07-CC-20220516121801
FACILITY NAME:MONTESSORI ACADEMY OF CAMPBELLFACILITY NUMBER:
434408018
ADMINISTRATOR:SVETLANA, AMIRFACILITY TYPE:
850
ADDRESS:177 EAST RINCON AVENUETELEPHONE:
(408) 378-9244
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:49CENSUS: 43DATE:
07/19/2022
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Svetlana Amir TIME COMPLETED:
12:15 PM
ALLEGATION(S):
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9
Staff handled day care child in a rough manner
Staff are threatening day care children
Staff are using inappropriate discipline
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), James Santos conducted an unannounced subsequent complaint visit today and met with Site Director, Svetlana Amir. The purpose of today's visit was to deliver the investigation findings for the above allegations.

During the course of the investigation, interviews were conducted with staff, parents and children. LPA also conducted observations of the classrooms.

Based on the information gathered, there is not enough evidence to prove that the above allegations occurred. Therefore, the allegations are UNSUBSTANTIATED. A finding that is unsubstantiated means although the allegation may have happened or are valid, the preponderance of evidence does not prove it.

No deficiencies cited. Exit interview conducted and copy of this report was provided to the Site Director.


NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: James G SantosTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022
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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