013412619-4-24-2026-52-CC-CCHS-DTNQY9-20260501123442

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013412619
Report Date: 04/24/2026
Date Signed: 04/24/2026 04:08:57 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
03/09/2026 and conducted by Evaluator Jialing Zhu

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20260309100513

FACILITY NAME:	MONTESSORI CHILDREN'S CENTER		FACILITY NUMBER:	013412619
ADMINISTRATOR:	SALVADOR, LULETTE		FACILITY TYPE:	830
ADDRESS:	33170 LAKE MEAD DRIVE		TELEPHONE:	(510) 489-7510
CITY:	FREMONT	STATE: CA	ZIP CODE:	94555
CAPACITY:	20	CENSUS: 13	DATE:	04/24/2026
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Lulette Salvador		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff did not use appropriate bottle feeding practices

INVESTIGATION FINDINGS:

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Substantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

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 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 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
03/09/2026 and conducted by Evaluator Jialing Zhu

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20260309100513

FACILITY NAME:	MONTESSORI CHILDREN'S CENTER		FACILITY NUMBER:	013412619
ADMINISTRATOR:	SALVADOR, LULETTE		FACILITY TYPE:	830
ADDRESS:	33170 LAKE MEAD DRIVE		TELEPHONE:	(510) 489-7510
CITY:	FREMONT	STATE: CA	ZIP CODE:	94555
CAPACITY:	20	CENSUS: 13	DATE:	04/24/2026
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Lulette Salvador		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff did not provide adequate food service to a daycare child

INVESTIGATION FINDINGS:

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On 04/24/2026 at 2:15pm, Licensing Program Analyst (LPA) Jialing “Julianne” Zhu conducted an UNANNOUNCED COMPLAINT SITE INSPECTION. LPA met with Director Lulette Salvador. LPA advised director the purpose of the inspection is to deliver the findings of the above allegation. Present during the inspection were four (4) fingerprint-cleared staff and 13 infants (0-24 months). Throughout the course of the inspection, LPA requested and obtained a copy of the Facility Roster, current Personnel Report, and other relevant documents. LPA and director toured the two (2) infant classrooms for a health and safety inspection. LPA conducted interviews with the Reporting Party (RP), Director, two (2) staff members, and a random sampling of parents. LPA also reviewed staff and children’s files as well as camera footage of the infant classroom(s). Documentation of feeding log was readily available for review, but the records were incomplete. Information from interviews did not conclusively show whether adequate food service was or was not provided. Although the allegation 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 allegation is unsubstantiated. A Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted, report was reviewed, and Appeal Rights were provided to Director Lulette Salvador. Page 1 of 1. End of Report.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 52-CC-20260309100513

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MONTESSORI CHILDREN'S CENTER	FACILITY NUMBER: 013412619
	VISIT DATE: 04/24/2026

NARRATIVE

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Camera footage showed at least one instance of an infant, who is unable to hold a bottle independently, was not held directly by an adult when bottle-fed. However, the infant was bottle-fed under the direct supervision of a teacher, and the bottle was held by the teacher for the infant. Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations 101427(h) is cited on the attached LIC 9099D.

A Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted, report was reviewed, and Appeal Rights were provided to Director Lulette Salvador.

Page 2 of 2. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 52-CC-20260309100513

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MONTESSORI CHILDREN'S CENTER	FACILITY NUMBER: 013412619
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/24/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/08/2026 Section Cited CCR 101427(h)	1 2 3 4 5 6 7	101427(h) Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director will review 101427 Infant Care Food Service regulations with all teachers who work in the infant classroom in an one-on-one setting or in an all-staff meeting. Director will provide meeting minutes along with proof of attendance to demonstrate understanding of updated bottle-feeding practices.
	8 9 10 11 12 13 14	Based on observation, interview, and record review, the licensee did not comply with the section cited above as an infant who is unable to hold a bottle independently was not held by an adult when bottle-fed but was supervised, which poses an potential health, safety, and/or personal rights risk to persons in care.	8 9 10 11 12 13 14	Signed written statements from teachers will also be accepted. Director will send documentation to LPA by email at jialing.zhu@dss.ca.gov by 05/08/2026.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2026

LIC9099 (FAS) - (06/04)

Page: 4 of 5