434413370-7-14-2021-52-CC-JJAG-C5JLYE-20210803091012

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434413370
Report Date: 07/14/2021
Date Signed: 07/14/2021 12:39:04 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/28/2021 and conducted by Evaluator Manel Estoesta

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20210628154509

FACILITY NAME:	LITTLE FLOWERS MONTESSORI		FACILITY NUMBER:	434413370
ADMINISTRATOR:	RUWANGI SUMANASEKERA		FACILITY TYPE:	850
ADDRESS:	200 SERRA WAY #50		TELEPHONE:	(408) 471-7055
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	111	CENSUS: 99	DATE:	07/14/2021
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Suzette Dean		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

1. Teacher yelled at daycare child. - Personal Rights
2. Teacher threw away daycare child's lunch as punishment for not listening. - Personal Rights
3. Teachers are not using universal precautions. - Personal Rights

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On Wednesday, July 14, 2021 10:05 AM, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced complaint investigation for the above allegations. LPA met with Director Suzette Dean and explained the nature of the site visit. Present on this visit were 15 staff and 99 preschool children. Facility operates from Monday to Friday 8:30 am to 5:30 pm.

LPA toured the facility to conduct a Health and Safety inspection on 07/02/2021 and 07/14/2021. The facility appeared and observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors. LPA observed that the facility follows the California Department of Public Heath Guidance for Child Care Providers and Programs for Coronavirus Disease 2019 (COVID-19) infection control practices.

See 9099 C.....

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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 52-CC-20210628154509

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: LITTLE FLOWERS MONTESSORI	FACILITY NUMBER: 434413370
	VISIT DATE: 07/14/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continuation.....

LPA conducted facility room and outdoor play area observation and staff interviews. LPA obtained the copies of the facility's roster (children and staff), copies of Sign In sheet for the day (children and staff) and LPA reviewed Parent Handbook, children and staff files.

Based on the observation, staff interviews and documents collected, the teachers and staff showed children appropriate ways of behavior through encouragement, teachers are using positive redirection to help calm a child, corporal punishment is not administered in the facility and all the teachers stated in the interviews that teachers never withhold any food from a child.

The allegations were the following;

1. Teacher yelled at daycare child. - Personal Rights
2. Teacher threw away daycare child's lunch as punishment for not listening. - Personal Rights
3. Teachers are not using universal precautions. - Personal Rights

Although the above allegations 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 above allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were given and discussed. An exit interview was conducted.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2