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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503603196
Report Date: 04/28/2023
Date Signed: 05/01/2023 03:28:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2023 and conducted by Evaluator Anita Tristan
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20230301143648
FACILITY NAME:MONTESSORI SCHOOL OF MODESTOFACILITY NUMBER:
503603196
ADMINISTRATOR:SEGURA, EVAFACILITY TYPE:
850
ADDRESS:3501 SAN CLEMENTE AVE.TELEPHONE:
(209) 567-1115
CITY:MODESTOSTATE: CAZIP CODE:
95356
CAPACITY:140CENSUS: 70DATE:
04/28/2023
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Eva SeguraTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff deny day care children's requests to return indoors due to being cold.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/28/2023 Licensing Program Analysts (LPA) Anita Tristan conducted an unannounced complaint inspection. LPA met with Director, Eva Segura to provide findings regarding the above allegations.

Based on the investigation, staff interviews, parent interviews and record review it has been determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit.
Exit interview conducted with Director, Eva Segura. A Notice of Site Visit to be posted for 30 days.



Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Anita TristanTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023
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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