<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700625
Report Date: 05/08/2024
Date Signed: 05/08/2024 01:30:54 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
05/07/2024 and conducted by Evaluator Caroline Colson
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240507135951
FACILITY NAME:MOUNT VALLEY MONTESSORIFACILITY NUMBER:
015700625
ADMINISTRATOR:RANI, PUSHPAFACILITY TYPE:
850
ADDRESS:1481 MOWRY AVENUETELEPHONE:
(408) 718-9911
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:120CENSUS: 83DATE:
05/08/2024
UNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:Pushpa RaniTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlicensed Care - Unlicensed Care is being provided.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Wednesday, May 8, 2024 at 10:58 AM, Licensing Program Analysts Caroline Colson and April Wright met with Pushpa Rani, Owner, for an unannounced complaint. There are 78 preschool children and 5 Toddlers with 11 staff members including the applicant. There is a pending Change of Ownership application and is being reviewed by the Centralized Application Bureau.

Based upon LPA's observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Health and Safety 1596.80 is being cited on the attached LIC 9099 D.

The attached type A deficiency is being cited today. An exit interview was conducted.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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-20240507135951
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: MOUNT VALLEY MONTESSORI
FACILITY NUMBER: 015700625
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/08/2024
Section Cited
HSC
1596.40
1
2
3
4
5
6
7
Child day care facilities, licenses
No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefore as provided in this act.
1
2
3
4
5
6
7
Applicant has a pending application and is being processed. Notice of Operation In Violation of Law was given. The deficiency has been corrected.
8
9
10
11
12
13
14
Based on observation and interview, Applicant did not comply with section stated above as it was determined that unlicensed child care is being provided, which poses an immediate health, safety, or personal rights risk to children in care.
8
9
10
11
12
13
14
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: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2