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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011043
Report Date: 04/16/2025
Date Signed: 04/16/2025 11:51:35 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/20/2025 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250220144557
FACILITY NAME:TELSTAR MONTESSORI CHILD CARE CENTERFACILITY NUMBER:
198011043
ADMINISTRATOR:GABRIELA DOMINGUEZFACILITY TYPE:
830
ADDRESS:9320 TELSTAR AVENUETELEPHONE:
(626) 569-2640
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY:15CENSUS: 7DATE:
04/16/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabby Dominguez, DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff did not report infant’s injuries to authorized representative
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 4/16/2025. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 2/20/2025. LPA met with Director Gabby Dominguez, to whom the reason for the visit was explained. Census was taken.

During this investigation LPA conducted interviews with Staff, Reporting Party and Parents. LPA also obtained several documents related to the complaint allegation, including but not limited to, a copy of the Facility Roster (LIC 9040), Personnel Report (LIC 500), incidents reports, pictures and other documentation.

Regarding allegation Staff did not report infant’s injuries to authorized representative Reporting party (RP) alleges that Child’s # 1 left eye was red, purple and swollen during pick up time and there was no incident report. Pictures were provided.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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 33-CC-20250220144557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
VISIT DATE: 04/16/2025
NARRATIVE
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LPA interviewed staff # 1- 5 regarding this allegation. Staff # 2 and # 3 disclosed that staff # 3 brought child # 1 to the front office because child’s eye seemed red and had discharge. Staff # 2 asked staff # 3 to monitor child as it looked like they might have scratched eye. Per Staff # 2 and # 3 parents were not called. Staff # 1, 3 and 5 disclosed that they were not aware that child # 1 was taken to the front office regarding their eye. Staff # 1,3 and 5 noticed child’s eye when child woke up from nap- and assumed they scratched during nap but did not call parents to inform them. Staff 1-5 corroborated that they did not witnessed child # 1 hurting their eye.

LPA obtained pictures of child’s # 1 eye- pictures showed visible redness and swelling. LPA did not observed any incident report regarding child’s #1 eye.

Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

A notice of site visit was given and must posted for 30 days. Exit interview conducted and report was reviewed with Director Gabby Dominguez.

------------------------------------------------------------- pg. 2 of 2 -------------------------------------------------------
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20250220144557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/02/2025
Section Cited
CCR
101226.3(b)
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101226.3 Observation of the Child (b) Any unusual behavior, any injury or signs of illness requiring assessment and/or administration of first aid by staff shall be reported to the child's authorized representative and recorded in the child's record.
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Per Director, they will conduct a meeting with staff regarding observation and reporting to parents. A written plan on how to stay in compliance and meeting notes will be submitted to LPA by POC due date of 5/2/2025.
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Based on interviews and record review, the licensee did not comply with the section cited above in that Child # 1 had a red, swollen eye throughout the day and parents were not informed. This poses a potential risk for 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: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/20/2025 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250220144557

FACILITY NAME:TELSTAR MONTESSORI CHILD CARE CENTERFACILITY NUMBER:
198011043
ADMINISTRATOR:GABRIELA DOMINGUEZFACILITY TYPE:
830
ADDRESS:9320 TELSTAR AVENUETELEPHONE:
(626) 569-2640
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY:9CENSUS: 7DATE:
04/16/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabby Dominguez, DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff did not ensure crib was occupied by one infant at a time
Staff did not ensure each infant’s bedding is used for him/her only
INVESTIGATION FINDINGS:
1
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 4/16/2025. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 2/20/2025. LPA met with Director Gabby Dominguez to whom the purpose of the inspection was announced. Census was taken.

Throughout the course of the investigation, interviews were conducted with staff, reporting party and parents. LPA also obtained several documents related to the complaint allegation, including but not limited to, a copy of the Facility Roster (LIC 9040), Personnel Report (LIC 500), pictures and other documentation.

Per initial complaint report, the complainant reported that as a form of retaliation Child's # 1 crib was used for more than one infant at a time- while child's # 1 crib sheet was on the crib. Pictures were provided.
------------------------------------------------------ pg.1 of 2 ----------------------------------------------------------------------
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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 33-CC-20250220144557
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TELSTAR MONTESSORI CHILD CARE CENTER
FACILITY NUMBER: 198011043
VISIT DATE: 04/16/2025
NARRATIVE
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In regards to allegation # 1 Staff did not ensure crib was occupied by one infant at a time and allegation # 2 Staff did not ensure each infant’s bedding is used for him/her only. LPA conducted interviews with staff # 1- 5. Staff corroborated that they had a visit from the Fire Department as the Preschool License on site was learning about community workers and they decided to have infant's participate. Child's # 1 crib is an evacuation crib and was used to evacuate children in that crib and another evacuation crib. Per Staff 1-5 their policy is to put children's crib sheet on before they nap and since child # 1 had already nap their crib had a sheet on. Staff corroborated that they did not noticed sheet on until after children were already placed in crib- however sheet was changed to a clean extra sheet when they came back into the classroom.

LPA conducted interviews with parents. Parent’s statements corroborate that they do not have any concerns, with the facility and are happy with the care their child receives.

This agency has investigated the complaint alleging Staff did not ensure crib was occupied by one infant at a time and Staff did not ensure each infant’s bedding is used for him/her only due to retaliation. Based upon the evidence as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Gabby Dominguez.

------------------------------------------------------- pg. 2 of 2 ------------------------------------------------------------
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5