198019813-5-30-2023-33-CC-BVON-CSEL4S-20230602082559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019813
Report Date: 05/30/2023
Date Signed: 05/30/2023 10:46:05 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
03/06/2023 and conducted by Evaluator Lilli Babcock

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230306105035

FACILITY NAME:	PRIMANTI MONTESSORI ACADEMY		FACILITY NUMBER:	198019813
ADMINISTRATOR:	HARSHINI GUNASEKARA		FACILITY TYPE:	830
ADDRESS:	10947 VALLEY HOME AVE		TELEPHONE:	(562) 943-0246
CITY:	WHITIER	STATE: CA	ZIP CODE:	90603
CAPACITY:	54	CENSUS: 14	DATE:	05/30/2023
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Director, Maribeth Peralta		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Infant in care sustained unexplained bruising

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Lilli Babcock and Mary Silva conducted an unannounced complaint inspection to deliver findings for the above allegation. A COVID risk assessment was conducted and appropriate PPE was used by LPAs. LPAs met with Director, Maribeth Peralta, to whom the reason for the visit was explained. Director guided LPAs on a tour of the facility. LPAs observed fourteen (14) children and five (5) staff present at the facility during this inspection.

During this investigation LPA conducted interviews with Director, seven (7) staff, and six (6) day care parents. LPA Babcock 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), a copy of the Infant Daily Log Sheet, staff timecards for the week of 2/27/23-3/12/23, video footage of the infant room on 3/3/23, and Police Report number 2023-0001379.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023

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 33-CC-20230306105035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PRIMANTI MONTESSORI ACADEMY	FACILITY NUMBER: 198019813
	VISIT DATE: 05/30/2023

NARRATIVE

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Allegation #1: Infant in care sustained unexplained bruising

According to the allegation, after parent #1 (P1) picked up Child #1 (C1) from the facility on 3/3/23, parent noticed bruising on the front and the back of the left ear of C1. P1 believes the bruising occurred at the facility as P1 states C1 did not have the bruising when dropped off at the facility that morning. Staff interviewed made no disclosures they observed a bruise on the left ear of C1 or that anything unusual happened to C1 on 3/3/23. Staff interviewed stated they do a morning check of all children for bruises and scrapes and document their observations on the Infant Daily Log Sheet. The Daily Log Sheet for C1 on 3/3/23 does not show any notations of observed injuries from teachers. Director stated if staff observe an injury on a child during the morning check, “We always write an injury report whether it happened at school or not. It goes in the child’s file. Teachers will also write it on the Daily log sheet”. Parents interviewed reported they are happy with the care being provided to their child. LPA Babcock obtained video footage of the classroom, however per director, only one of three cameras was working on that day. LPA reviewed the video footage and noted there are blind spots on the top and bottom of the video’s frame. The blind spots conceal 3 areas. One blind spot is where the kitchen and changing table are located, which is concealed by a wall. The second blind spot is the area across from the kitchen and behind the crib area, and the third blind spot is the main door area. LPA reviewed all the footage provided and although C1 did go off camera into the blind spots throughout the day, LPA did not observe C1 fall, cry, or rub his ears, and did not observe staff to hurt the ears of C1. Police report states the officer that reviewed the video classroom footage, “did not observe any evidence of a crime”.

Based on LPAs interviews with staff and parents, and review of video footage of the classroom from 3/3/23, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

There were no deficiencies cited on the above-mentioned allegations per California Code of Regulations Title 22.

A notice of site visit was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Exit interview conducted and report was reviewed with Director, Maribeth Peralta.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2023

LIC9099 (FAS) - (06/04)

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