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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455407134
Report Date: 08/27/2021
Date Signed: 08/27/2021 11:27:13 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/19/2021 and conducted by Evaluator Emilia Grisak
PUBLIC
COMPLAINT CONTROL NUMBER: 13-CC-20210819110011
FACILITY NAME:MONTESSORI CHILDREN'S HOUSE OF SHADY OAKSFACILITY NUMBER:
455407134
ADMINISTRATOR:KAUT, THOMASFACILITY TYPE:
850
ADDRESS:1410 VICTOR AVE.TELEPHONE:
(530) 222-0355
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:85CENSUS: 29DATE:
08/27/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Michael Van Tinteren, Owner
Julie Helart, Director		TIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff not following guidelines for facial coverings
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Emilia Grisak conducted an unannounced complaint visit and met with Michael Van Tinteren and Julie Helart. It was alleged that staff are not following guidelines for facial coverings, specifically that teachers and children are not wearing facial coverings. The Director and Owner were interviewed at 10:45am and stated that staff wear facial coverings but they were not aware that children ages 2-5 needed to wear facial coverings. LPA toured the facility at 10:45am and observed 28 out of 29 children not wearing facial coverings. LPA observed that 5 out of 5 teachers and the Director and Owner were all wearing facial coverings. Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. LIC9102 Technical Assistance was provided.

Notice of Site Visit Posted for 30 days from today's visit.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Emilia GrisakTELEPHONE: (530) 895-5821
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
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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