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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566211067
Report Date: 10/03/2025
Date Signed: 10/03/2025 03:36:28 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
08/22/2025 and conducted by Evaluator Brian Fung
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250822122933
FACILITY NAME:SIMI VALLEY MONTESSORI SCHOOLFACILITY NUMBER:
566211067
ADMINISTRATOR:GRACE PEIRISFACILITY TYPE:
850
ADDRESS:1776 ERRINGER ROAD # 104TELEPHONE:
(805) 584-7900
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:48CENSUS: 15DATE:
10/03/2025
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Grace PeirisTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff are not properly supervising children resulting to injuries
Staff are not notifying responsible party of incidents involving childrne in a timely manner
INVESTIGATION FINDINGS:
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On October 03, 2025 at 1:55 PM Licensing Program Analysts (LPAs) Brian Fung and Laura Carone conducted an unannounced inspection to conclude investigation for the above allegations. LPA met with Director, Grace Peiris and explained the purpose of the visit. LPAs conducted a tour of the facility inside and outside with director. LPAs observed a total of 15 children under the care and supervision of 3 staff and 1 director. There are 2 preschool and 1 infant classrooms. Child care hours are Monday through Friday 7:15 AM to 5:30 PM.

LPAs interviewed staff/parents and reviewed records. Parents interviewed reported being mostly happy with the care and supervision their child receives at the center. Teachers interviewed are aware of the center's protocol for a child injury. Parents are notified of a child injury through written ouch reports, text with pictures taken, and phone calls. For head injuries a phone call is made to the parents and called to licensing. LPAs obtained a copy of the written injury report that is given to parents. Director is aware of reporting injuries to the parents and the Regional Office.
Continued-9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Brian Fung
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
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 17-CC-20250822122933
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: SIMI VALLEY MONTESSORI SCHOOL
FACILITY NUMBER: 566211067
VISIT DATE: 10/03/2025
NARRATIVE
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On August 28, 2025 and today October 3, 2025, LPAs conducted inspections with no evidence of the allegations. LPAs observed the child care areas to be safe and in compliance with Title 22 Regulations. LPAs observed staff to be actively supervising children.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiencies cited today. A notice of site visit LIC9213 was given. The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal rights LIC9058 given.

Exit interview conducted with Director, Grace Peiris. The report was reviewed and a copy was given.
SUPERVISORS NAME: Susana Martinez
LICENSING EVALUATOR NAME: Brian Fung
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
LIC9099 (FAS) - (06/04)
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