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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405026
Report Date: 04/22/2024
Date Signed: 04/22/2024 11:22:20 AM

Document Has Been Signed on 04/22/2024 11:22 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SPRINGFIELD MONTESSORI SCHOOLFACILITY NUMBER:
073405026
ADMINISTRATOR/
DIRECTOR:		SHASHI LALFACILITY TYPE:
850
ADDRESS:2780 MITCHELL DRIVETELEPHONE:
(925) 944-0626
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY: 226TOTAL ENROLLED CHILDREN: 173CENSUS: 146DATE:
04/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Shashi Lal/Rachel JacobsenTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 4/22/24 Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Case Management - Incident follow-up inspection at Springfield Montessori. LPA met with Campus Coordinator, Rachel Jacobsen and Licensee/Director, Shashi Lal. Purpose of today’s inspection is to follow up on a previous inspection on 4/10/24 regarding an incident that the facility reported to Licensing Department on 3/27/24.

Facility reports that a concern was expressed alleging a teacher roughly mishandled a child for discipline. During today's inspection LPA conducted additional interviews, room observation and reviewed documents.

At this time, 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 was cited for this allegation. LPA discussed importance of staying compliant and best practices on how to handle difficult situations that do not violate personal rights of children in care. Exit interview conducted with Licensee/Director, Shashi Lal and Campus Coordinator, Rachel Jacobsen. A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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