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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019813
Report Date: 07/22/2021
Date Signed: 07/22/2021 12:53:35 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, 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
05/24/2021 and conducted by Evaluator Jose Guzman
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210524113003
FACILITY NAME:PRIMANTI MONTESSORI ACADEMYFACILITY NUMBER:
198019813
ADMINISTRATOR:HARSHINI GUNASEKARAFACILITY TYPE:
830
ADDRESS:10947 VALLEY HOME AVETELEPHONE:
(562) 943-0246
CITY:WHITIERSTATE: CAZIP CODE:
90603
CAPACITY:54CENSUS: 14DATE:
07/22/2021
UNANNOUNCEDTIME BEGAN:
11:47 AM
MET WITH:Director, Maribeth PeraltaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Facility operate out of ratio.
INVESTIGATION FINDINGS:
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On 07/22/2021 at 11:47 a.m., Licensing Program Analyst (LPA) Jose Guzman conducted an unannounced complaint inspection to deliver findings of the above allegations. A risk assessment was conducted when entering the facility. LPA met with Director, Maribeth Peralta, who guided LPA on a tour of the facility. There was a total of 14 children present with 5 staff.

Facility is out of ratio- Complainant alleged that one staff is often providing care for 13 children or more in the infant room. LPA conducted interviews with Staff #1 (S1), #2 (S2), #3 (S3), #4 (S4), and #5 (S5). By (S1) and (S2) own admission, the facility has operated out of ratio for a few minutes and during transition periods. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency are being cited (see attached 9099D).
Page 1 of 2

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/24/2021 and conducted by Evaluator Jose Guzman
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210524113003

FACILITY NAME:PRIMANTI MONTESSORI ACADEMYFACILITY NUMBER:
198019813
ADMINISTRATOR:HARSHINI GUNASEKARAFACILITY TYPE:
830
ADDRESS:10947 VALLEY HOME AVETELEPHONE:
(562) 943-0246
CITY:WHITIERSTATE: CAZIP CODE:
90603
CAPACITY:54CENSUS: 14DATE:
07/22/2021
UNANNOUNCEDTIME BEGAN:
11:47 AM
MET WITH:Director, Maribeth PeraltaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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2
3
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5
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8
9
Facility is using inappropriate napping methods.
INVESTIGATION FINDINGS:
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On 07/22/2021 at 11:47 a.m., Licensing Program Analyst (LPA) Jose Guzman conducted an unannounced complaint inspection to deliver findings of the above allegations. A risk assessment was conducted when entering the facility. LPA met with Director, Maribeth Peralta, who guided LPA on a tour of the facility. There was a total of 14 children present with 5 staff.

Facility is using inappropriate napping methods: Complainant alleged that children sleep in their highchairs. LPA conducted interviews with Staff #1 (S1), #2 (S2), #3 (S3), #4 (S4), and #5 (S5). Interviews conducted found that there were conflicting statements from staff pertaining to how much time children are left in their highchair after feeding and when children are removed from the highchair after falling asleep. Based on the evidence obtained during the course of the investigation through interviews the evidence does not support, nor disprove the above allegation that children sleep in their highchairs. Therefore, the allegation has been determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted with Director, Maribeth Peralta.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 33-CC-20210524113003
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PRIMANTI MONTESSORI ACADEMY
FACILITY NUMBER: 198019813
VISIT DATE: 07/22/2021
NARRATIVE
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Upon receipt, the Licensee shall post the “D” page of the Licensing report. This page shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100 civil penalty. A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next 12 months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent. LPA provided Director with a blank copy of the LIC 9224 Acknowledgement of Receipt of Licensing Report.

Exit interview was conducted with Director, Maribeth Peralta.
Page 2 of 2
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20210524113003
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PRIMANTI MONTESSORI ACADEMY
FACILITY NUMBER: 198019813
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/30/2021
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio: (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. The requirement is not met as evidenced by:
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Director shall submit a detailed staff schedule outlining staff room assignments and coverage. Per Director, additional staff has been hired. Director will also conduct a training on teacher-child ratios and provide a copy of the sign-in sheet and training agenda by the POC due date of 07/30/2021.
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Based on Licensing Program Analyst (LPA) interviews conducted, the Director did not ensure that the facility maintain teacher to child ratio during transition periods. This poses an immediate Health, Safety or Personal Rights risk to children 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: Ana Chico
LICENSING EVALUATOR NAME: Jose Guzman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5