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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 015700592
Report Date: 06/15/2023
Date Signed: 06/15/2023 11:21:10 AM

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
04/05/2023 and conducted by Evaluator April Wright
COMPLAINT CONTROL NUMBER: 52-CC-20230405164759
FACILITY NAME:MOUNT VALLEY MONTESSORI INC.FACILITY NUMBER:
015700592
ADMINISTRATOR:JAGGA, URVASHIFACILITY TYPE:
850
ADDRESS:1481 MOWRY AVENUETELEPHONE:
(510) 491-7006
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:120CENSUS: 90DATE:
06/15/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Urvashi JaggaTIME COMPLETED:
11:25 AM
ALLEGATION(S):
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Personal Rights - Staff inappropriately disciplines day care children.
INVESTIGATION FINDINGS:
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On June 15th, 2023, at approximately 9:30am, Licensing Program Analyst (LPA) April Wright met with Director Urvashi Jagga,for an unannounced Complaint follow up inspection. The purpose of the visit is to deliver the complaint investigation findings. LPA Wright conducted a Health & Safety inspection of the facility. Four classrooms were inspected. Present during the inspection were 90 children and 12 staff personnel which including the Director. All staff present today have a fingerprint clearance.
During the course of the investigation, LPA Wright, conducted interviews with facility personnel and random sample of parents.
The complaint alleges a child’s Personal Right’s were violated – Staff inappropriately disciplines day care children. This agency has investigated this complaint. Based on LPAs interviews which were conducted, and the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 101223 (a)(3), Division 12, Chapter 1, Article 6, are being cited on the attached LIC 9099D.
Exit interview was conducted with director Urvashi Jagga. Report was read to the Director, Appeal rights were explained and presented.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
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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Control Number 52-CC-20230405164759
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 INC.
FACILITY NUMBER: 015700592
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/15/2023
Section Cited
CCR
101223(a)(3)
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Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights (3)To be free from corporal or unusual punishment, infliction of pain, humiliation...mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning
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Center Director and staff will watch CCLD video on Personal Rights and have training with staff. Center Director will submit proof of meeting and statements from staff to LPA by due date issued. The meeting will include a discussion about supervision and personal rights of children.
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Based on interviews, the center staff did not comply with the section cited above of maintaining the personal rights of a child subjecting them to Staff inappropriately disciplines day care children which poses a potential risk to the health and safety of children in care
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 The meeting will include viewing CCLD videos:
1. Supervising Children in Child Care Center
https://ccld.childcarevideos.org/family-child-care-providers/supervising-children-in-family-child-care/
2. Children’s Personal Rights in Child Care. Meeting attendance sheets will be proved to CCLD
https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-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: 06/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
LIC9099 (FAS) - (06/04)
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