093623234-9-4-2026-03-CC-JBMR-DY5MH3-20260921093649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 093623234
Report Date: 09/04/2026
Date Signed: 09/04/2026 09:49:03 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/26/2026 and conducted by Evaluator Ye Vang

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20260826125043

FACILITY NAME:	PINE TOP MONTESSORI ACADEMY (PS)		FACILITY NUMBER:	093623234
ADMINISTRATOR:	JILL KIME		FACILITY TYPE:	850
ADDRESS:	5723 PONY EXPRESS COURT		TELEPHONE:	(530) 391-2604
CITY:	POLLOCK PINES	STATE: CA	ZIP CODE:	95726
CAPACITY:	29	CENSUS: 7	DATE:	09/04/2026
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Morgan Newman		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Licensee does not reveal the facility’s license number in online advertisement.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Sala Vang and Joshua Hatch met with Lead Teacher, Morgan Newman, for the purpose to open and close a complaint. It was alleged that Licensee is not properly posting their license number on an advertisement. During todays visit there were a census of seven children being supervised by two staff.

Throughout the course of the investigation, LPAs made observations. and review new advertisement flyers posted in the facility. LPAs observed Licensees does have their facility license number in online advertisements and flyers. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, report reviewed with Lead Teacher Morgan. Appeals right was given. Notice of site visit was provided and must be posted for 30 days.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Ye Vang
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026

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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