197494881-4-22-2022-30-CC-KSTS-CFLNXC-20220621105051

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494881
Report Date: 04/22/2022
Date Signed: 04/22/2022 04:33:54 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/22/2022 and conducted by Evaluator Shandra Powell

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20220322082820

FACILITY NAME:	VERMONT MONTESSORI		FACILITY NUMBER:	197494881
ADMINISTRATOR:	SILVIA FLORES RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	8300 VERMONT AVENUE		TELEPHONE:	(323) 549-4570
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90044
CAPACITY:	54	CENSUS: 12	DATE:	04/22/2022
		UNANNOUNCED	TIME BEGAN:	03:53 PM
MET WITH:	Silvia Rodriguez, Director		TIME COMPLETED:	04:54 PM

ALLEGATION(S):

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Neglect/Lack of Supervision - Day care child sustained an unexplained injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced complaint investigation to deliver the findings for the above allegation. Upon arrival LPA Powell met with Silvia Rodriguez, Director. Census were taken.

During the course of this investigation LPA Powell conducted interviews, reviewed documents, and made observations in regards to the above allegation.

The complaint alleges that Child#1 sustained an unexplained injury while in care at the facility. The facility stated that the parent of Child#1 observed a small scratch under Child#1 eye after he was picked up from facility. When the parent inquired about the mark seen on Child#1 to the facility, the facility did not know how or what caused the mark according to the details of this complaint.
During this investigation LPA conducted interviews with the, Director, staff members, the complainant, and preschool children. LPA also received documents from the facility to assist in the required investigation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

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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Control Number 30-CC-20220322082820

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VERMONT MONTESSORI	FACILITY NUMBER: 197494881
	VISIT DATE: 04/22/2022

NARRATIVE

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During interviews the Director and Staff denied the allegation and made no disclosure. The Director and Staff stated they did not recall any incident that might have caused the mark and attendance was low on the day of the alleged allegation.

Based on the evidence collected during the investigation, the allegation that child sustained unexplained injury while in care care may be valid. However, 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 found to be unsubstantiated.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director, Silvia Rodriguez Appeal rights discussed.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:	DATE: 04/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022

LIC9099 (FAS) - (06/04)

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