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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700625
Report Date: 10/21/2024
Date Signed: 10/21/2024 03:54:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 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
10/02/2024 and conducted by Evaluator April Wright
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20241002131545
FACILITY NAME:MOUNT VALLEY MONTESSORIFACILITY NUMBER:
015700625
ADMINISTRATOR:RANI, PUSHPAFACILITY TYPE:
860
ADDRESS:1481 MOWRY AVENUETELEPHONE:
(408) 718-9911
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:120CENSUS: 60DATE:
10/21/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Pushpa RaniTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Ratio - Facility is out of ratio.
INVESTIGATION FINDINGS:
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On October 21st, 2024 at approximately 9:35am, Licensing Program Analyst (LPA) April Wright and Licensing Program Manager (LPM) Chandra Charles arrived for an unannounced complaint investigation inspection and met with Center Director Pushpa Rani. Purpose of the inspection is to deliver complaint findings. LPA and LPM took a tour of the facility for a health and safety inspection. This facility is a combination daycare facility. Present during the inspection sixty (60) children and seven (8) staff personnel.

During the course of the investigation, LPA observed during the previous complaint inspection on 10/10/24, there were 13 preschool age children and 1 staff member present in the Ant classroom. Per licensing regulations, a teacher/child ratio is 1 teacher to every 12 children present, 1 teacher to 15 children when a teacher aide is present. Teacher present stated that the teacher's aid was not present at the time due to an appointment. This classroom caused the facility to be out of ratio. The complaint alleges that the Facility is out of ratio. This agency has investigated this complaint.
See LIC809C for continuance.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
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 4
Control Number 52-CC-20241002131545
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MOUNT VALLEY MONTESSORI
FACILITY NUMBER: 015700625
VISIT DATE: 10/21/2024
NARRATIVE
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Based on LPA observations, interviews which were conducted, and documents received and reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 101216.3(a) are being cited on the attached LIC 9099D.
A notice of site visit and appeal rights were given. Exit interview conducted and report was reviewed with Center Director Pushpa Rani.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 52-CC-20241002131545
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MOUNT VALLEY MONTESSORI
FACILITY NUMBER: 015700625
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2024
Section Cited
CCR
101216.3(a)
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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.
This was evidenced by:
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Center Director will have staff meeting and review the Teacher - Child Ratio regulations. Staff will also watch the CCLD video on "Teacher to Child Ratio" and write a brief summary of understanding about following regulations going forward.
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Based on LPA observations during previous visit on 10/10/24, LPA observed 13 preschool age children and 1 staff member present in the Ant classroom, which posed a potential health, safety or personal rights risk to children in care.
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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: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4