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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300606148
Report Date: 06/23/2022
Date Signed: 06/23/2022 10:23:21 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2022 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220406084616
FACILITY NAME:INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGEFACILITY NUMBER:
300606148
ADMINISTRATOR:EMBRADOR, ALLISONFACILITY TYPE:
850
ADDRESS:1539 MAYFAIRTELEPHONE:
(714) 997-8242
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY:60CENSUS: 24DATE:
06/23/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Allison Embrador- DirectorTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff handled child in a physically inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Odom conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 4/12/2022. Upon arrival LPA met with Director Allison Embrador to deliver complaint findings. At 9:30 am Director guided LPA on a tour of the facility. LPA observed a total of 24 children and 4 staff.

A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 4/6/2022 alleging Staff handled child in a physically inappropriate manner. The complainant party (CP) stated, on 4/5/22 Director informed CP that child #1 (C1) used the restroom and somehow got hair tangled on the step stool and staff #1 (S1) attempted to untangle C1’s hair by pulling C1’s hair.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
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 5
Control Number 06-CC-20220406084616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE
FACILITY NUMBER: 300606148
VISIT DATE: 06/23/2022
NARRATIVE
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During the investigation LPA Odom interviewed complaining party, director, 4 staff members, 2 children and 5 parents. LPA reviewed the children’s roster, personnel records, and pictures.

During an interview on 6/7/22, Director stated on 4/5/22 they were returning from lunch, and did not observe the incident between S1 and C1. What S1 told Director was inconsistent. First S1 told Director that C1 had an accident and told C1 to go to the restroom to change their clothes, C1 was on the ground removing their bottoms and C1 hit their head on the step stool causing C1’s hair getting caught on the stepping stool. C1 was getting anxious and S1 pulled a chunk of C1’s hair. Later S1 stated that S1 and C1 were both pulling on the hair and a chunk of hair came off. Director observed C1 in distress and crying. Director stated they informed parents of the incident and e-mailed pictures. Director stated the following day S1 was fired due to the severity of the incident with C1.

LPA interviewed 4 staff members on 6/7/22 and 6/15/22. Three out of the four staff members did not witness the incident. S1 stated on 4/5/22 during nap time C1 had an accident, while S1 was grabbing C1’s bag, C1 ran to the restroom and must have fallen on the broken step stool and got their hair caught on the stool. S1 disclosed they did not observe how C1 fell and landed on the stool. S1 stated C1 was pulling one direction and S1 was pulling the other direction causing for a chunk of hair to be removed from C1’s head. Staff #4 (S4) stated on 4/5/22 they spoke with C1 after the incident and C1 disclosed to S4 that C1 fell and hit their head on the stool and S1 hurt C1 by pulling their hair.

LPA attempted to interview 4 children, however only 2 children qualified for interviews. C1 disclosed S1 made C1 sad when C1’s hair got caught on step stool and S1 pulled C1’s hair in the restroom. Child #2 (C2) disclosed S1 made them feel sad, but C2 did not elaborate why S1 made them feel sad.

LPAs attempted to interview 10 parents, however only 5 parents were interviewed on 6/15/22. Four out Five parents did not have concerns with the childcare facility, and they were satisfied with the childcare center. Parent #2 (P2) stated, one of the reasons they left the childcare center was the C5 did seem to like S1, even though child did not verbally express anything negative about S1.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20220406084616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE
FACILITY NUMBER: 300606148
VISIT DATE: 06/23/2022
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LPA Odom reviewed the images provided. C1 had a visible bald spot where the hair was pulled out. LPA inspected the plastic step stool and observed a crack on the bottom of one of the corners.

Based on LPA facility inspection, observation, interviews conducted with complainant party, director, staff members, children and records reviewed it has been determined that C1’s personal rights were violated at the childcare. Therefore, the preponderance of evidence standard has been met, the allegation: Staff handled C1 in a physical inappropriate manner is found to be Substantiated. California Code of Regulations, Title 22, 101223(a)(3) Personal Rights, 102229(a)(1) Care and Supervision and 101239(n) Fixtures, Furniture, Equipment and Supplies is being cited on the attached LIC 9099D.

LPA Odom informed Director Allison Embrador that this report dated on 6/23/22 documents 2 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA Odom informed the Director Allision Embrador to provide a copy of this licensing report dated 6/23/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Director Allison Embrador. A notice of site visit was given and must remain posted for 30 days.

Appeal Rights were explained. The Licensee was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20220406084616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE
FACILITY NUMBER: 300606148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/23/2022
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
(a)The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule... This requirement is not met as evidenced by:
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The director stated, S1 was fired on 4/5/22 from the chiildcare center. Director stated on 4/6/22 staff were talked about gental touch with children. The director will submit a written plan on children's personal rights due by 6/24/22 to Licensing office.
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Based on interviews with complainant party, staff and images provided S1 aggressively pulled C1’s hair by removing a chunk of hair from C1’s head and causing C1 pain. This poses an immediate Health and Safety risk to the children in care.
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LPA Odom discussed the referral process for our Technical Support Program (TSP) with Director for assistance in personal rights training and support to providers.
Type A
06/23/2022
Section Cited
CCR
101229(a)(1)
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Care and Supervision 101229(a)(1): No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). This requirement is not met as evidenced by:
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Director stated, they will insure that all children are always visually supervised. The director will meet with all staff and discuss supervision. The director will submit a written plan for maintaining visual supervision due by 6/24/22 to Licensing office.
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Based on interviews with staff, S1 was not supervising C1 in the restroom, in which, S1 was not able to provide exact details on how C1 fell and got their hair caught on the step stool. This poses an immediate Health and Safety risk to the 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: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20220406084616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: INT'L CHRISTIAN MONTESSORI ACADEMY OF ORANGE
FACILITY NUMBER: 300606148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2022
Section Cited
CCR
101239(n)
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101239 Fixtures, Furniture, Equipment and Supplies (n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement is not met as evidence by:
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Director stated, the broken step stool was removed immediately on 4/5/22. Director stated they spoken with staff to make sure any furniture or equipment that can be harmful should be thrown out and notify director.
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Based on interviews with director, staff and pictures, the step stool in the children’s restroom was broken causing C1’s hair to get caught. This poses a potential Health and Safety risk to the 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: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5