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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191224296
Report Date: 05/14/2026
Date Signed: 05/29/2026 01:45:35 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2026 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20260508083726
FACILITY NAME:PARK MONTESSORI CHILDREN'S CTR.FACILITY NUMBER:
191224296
ADMINISTRATOR:PARK, GRACEFACILITY TYPE:
850
ADDRESS:13130 HERRICK AVE.TELEPHONE:
(818) 367-5483
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:75CENSUS: 52DATE:
05/14/2026
UNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Hannah Park, DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Child in care was left unattended on the facility playground
INVESTIGATION FINDINGS:
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This report was amended on 5/22/26 to correct LIC 9099-D. Facility representative signed electronic.

On Thursday, May 14, 2026, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection in regards the above allegation. LPA met with Director Hannah Park who granted access and guided LPA on a tour of the facility.

LPA entered classrooms and the play yard and observed a total of 52 children and staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7 and staff #8 present providing care and supervision. LPA observed the facility to be within ratio and present staff fingerprinted cleared.

During the course of the investigation, LPA Rivera, interviewed staff and reviewed video. Based on the interviews and LPA Rivera video observation, child #1 left alone with no active supervision in the fenced in gated playground for approximatley 15 minutes.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
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 5
Control Number 12-CC-20260508083726
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PARK MONTESSORI CHILDREN'S CTR.
FACILITY NUMBER: 191224296
VISIT DATE: 05/14/2026
NARRATIVE
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Based on LPA Rivera observation and interview, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22. One tyoe B deficiency is being issued today for regulation: 101229 Responsibility for Providing Care and Supervision. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
Please see attached LIC 809-D for citation.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director Hannah Park. Director was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20260508083726
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: PARK MONTESSORI CHILDREN'S CTR.
FACILITY NUMBER: 191224296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/27/2026
Section Cited
CCR
101229(1)
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101229 Responsibility for Providing Care and Supervision. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement is not met as evidenced by:
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Director placed staff on leave and had the staff attend trainings and take a quiz and had staff do a re-entering training for the afternoon transition. Count children and do a thorough outdoor inspection including blind spots to ensure no child is left behind.
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Based on LPA Rivera video observation and interviews, the facility did not comply with the section cited above in child being left without the supervision of a teacher which poses a potential health, safety or personal rights risk to persons 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: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2026 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20260508083726

FACILITY NAME:PARK MONTESSORI CHILDREN'S CTR.FACILITY NUMBER:
191224296
ADMINISTRATOR:PARK, GRACEFACILITY TYPE:
850
ADDRESS:13130 HERRICK AVE.TELEPHONE:
(818) 367-5483
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:75CENSUS: 52DATE:
05/14/2026
UNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Hannah Park, DirectorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff did not ensure that the perimeter gate remained closed and secured, which poses a safety risk to children in care.
INVESTIGATION FINDINGS:
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On Thursday, May 14, 2026, Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection in regards the above allegation. LPA met with Director Hannah Park who granted access and guided LPA on a tour of the facility.

LPA entered classrooms and the play yard and observed a total of 52 children and staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #7 and staff #8 present providing care and supervision. LPAs observed the facility to be within ratio and present staff fingerprinted cleared.

During the course of the investigation, LPA Rivera reviewed video and inspected the yard. Based on LPA Rivera video observation of the incident, the perimeter gate remained closed and secured. LPA observed the mother enter the code on the perimeter gate and open the perimeter gate and observed the child behind the playground gate and observed the mother open the playground gate. LPA also observed the playground gate closed and locked with two self latches.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 12-CC-20260508083726
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PARK MONTESSORI CHILDREN'S CTR.
FACILITY NUMBER: 191224296
VISIT DATE: 05/14/2026
NARRATIVE
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During the inspection, LPA observed another gate in the playground closed and locked with a padlock. LPA observed another gate outside the play yard closed and locked with a padlock.

LPA observations did not support nor confirm the above allegation. This agency has investigated the complaint alleging staff did not ensure that the perimeter gate remained closed and secured, which poses a safety risk to children in care. At this time, it is determined that 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 at this time the above allegation is unsubstantiated. No deficiency given at this time.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director Hannah Park. Director was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5