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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197750077
Report Date: 07/21/2022
Date Signed: 07/21/2022 05:45:44 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/29/2022 and conducted by Evaluator Liana Stepanyan
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220429153314
FACILITY NAME:GUIDEPOST MONTESSORI AT COPPER HILLFACILITY NUMBER:
197750077
ADMINISTRATOR:ERIN TRICEFACILITY TYPE:
850
ADDRESS:25135 RYE CANYON LOOPTELEPHONE:
(747) 800-4150
CITY:SANTA CLARITASTATE: CAZIP CODE:
91355
CAPACITY:126CENSUS: 35DATE:
07/21/2022
UNANNOUNCEDTIME BEGAN:
02:17 PM
MET WITH:Gina Castello, DirectorTIME COMPLETED:
05:48 PM
ALLEGATION(S):
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Neglect/Lack of supervision: On 4/22/22, child #4 fell and sustained scratches on nose and upper lip area.
INVESTIGATION FINDINGS:
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On July 21, 2022, Licensing Program Analysts (LPA) Liana Stepanyan and Licensing Program Manager Mariela Ramon conducted a subsequent complaint investigation for the purpose of delivering the findings. Upon arrival LPA and LPM were greeted by Gina Castello who guided LPA and LPM on a tour of the facility. LPA and LPM observed 35 children in care and 9 staff members providing care and supervision. The investigation of the above allegation consisted of interviews with staff, children and other relevant complaint parties.

The investigation revealed that on 04/22/22, during outdoor play time child #4 fell and as a result sustained scratches on his nose and upper lip area. Children were being supervised by staff #3 and #4. Right after the incident occurred, staff #4 noticed child #4 was crying and asked child #4 what had happened. Staff #3 and #4 did not know how child #4 sustained the injuries. First aid was provided. Child #4's authorized representative was notified via telephone at 3pm. Child #4's injuries did not require medical treatment.
Please see Complaint Investigation Report LIC9099C for report continuation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
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 3
Control Number 12-CC-20220429153314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: GUIDEPOST MONTESSORI AT COPPER HILL
FACILITY NUMBER: 197750077
VISIT DATE: 07/21/2022
NARRATIVE
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Based on the evidence obtained the preponderance of the evidence has been met; therefore the allegation of neglect and lack of supervision has been substantiated. A type B deficiency has been cited. See Complaint Investigation Report LIC 9099D for citation issued.

An exit interview is conducted, copy of the report was reviewed and provided to school Director along with appeal rights and notice of site visit.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20220429153314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: GUIDEPOST MONTESSORI AT COPPER HILL
FACILITY NUMBER: 197750077
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2022
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time. This requirement was not met as evidence by: Based on evidence obtained during interviews conducted it was disclosed child #4 fell resulting in scratches on his nose and upper lip.
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Director shall submit a written statement to the Department no later than 8/4/22 indicating what steps will be taken to prevent this type of incident from re-occurring.
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Supervising staff #3 and 4 were not aware of how child #4 sustained the scratches.
This is a Type B deficiency that poses potential threat to the health and safety of children.
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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: Mariela Ramon
LICENSING EVALUATOR NAME: Liana Stepanyan
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3