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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073405026
Report Date: 03/03/2022
Date Signed: 03/03/2022 03:51:38 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2022 and conducted by Evaluator Monica Mathur
PUBLIC
COMPLAINT CONTROL NUMBER: 02-CC-20220201144157
FACILITY NAME:SPRINGFIELD MONTESSORI SCHOOLFACILITY NUMBER:
073405026
ADMINISTRATOR:SHASHI LALFACILITY TYPE:
850
ADDRESS:2780 MITCHELL DRIVETELEPHONE:
(925) 944-0626
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:226CENSUS: 126DATE:
03/03/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Shashi LalTIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal rights - Staff hit child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/3/22 at 1:00 PM Licensing Program Analysts (LPAs) Monica Mathur and Michelle Sutton conducted an unannounced Subsequent Complaint Investigation at Springfield Montessori School. LPA met with Campus Coordinator, Tammie Meyer and explained the purpose of today’s inspection. Head of Schools/Director, Shashi Lal arrived later. During the course of the investigation LPA completed a physical plant inspection, reviewed facility records and conducted interviews. Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED which means 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. No Deficiency has been cited for this allegation. Director was reminded that violation of personal rights should never occur and that they are mandated reporters. Director stated they initiated all staff training and watched video on Personal rights on Licensing website.
Exit interview conducted with Director. Appeal rights were provided. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022
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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