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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270699
Report Date: 05/20/2026
Date Signed: 05/26/2026 09:16:09 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
03/10/2026 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20260310105451
FACILITY NAME:CYPRESS MONTESSORI ACADEMYFACILITY NUMBER:
304270699
ADMINISTRATOR:JATAURIIA RODRIGUEZFACILITY TYPE:
850
ADDRESS:8622 LA SALLETELEPHONE:
(714) 826-0800
CITY:CYPRESSSTATE: CAZIP CODE:
90630
CAPACITY:33CENSUS: 33DATE:
05/20/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Facility Representative, Princy De Silva TIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in children engaging in inappropriate interactions
Staff did not meet reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings for the above allegations. This is a continuation of the investigation initiated on 3/19/2026. LPA met with Facility Representative, Princy De Silva and informed the facility representative of the purpose of the visit. The facility representative guided LPA on a walkthrough of the facility. Census was taken. The overall census observed was 5 staff members with 33 children.
A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 3/10/2026 a complaint was filed with the Community Care Licensing office alleging (1) staff did not provide adequate supervision resulting in children engaging in inappropriate interactions and (2) staff did not meet reporting requirements.
During the course of investigation, LPA interviewed 4 staff members, 4 children and 4 parents, and reviewed records.
Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
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 2
Control Number 06-CC-20260310105451
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CYPRESS MONTESSORI ACADEMY
FACILITY NUMBER: 304270699
VISIT DATE: 05/20/2026
NARRATIVE
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During the course of investigation, LPA toured the facility, reviewed facility’s Parent Handbook and reviewed records including Cypress Police Department incident/investigation report.

Regarding allegation (1) Staff did not provide adequate supervision resulting in children engaging in inappropriate interactions

LPA interviewed staff members. Staff members stated they have not witnessed staff not providing inadequate supervision resulting in children engaging in inappropriate interactions. Staff #1 (S1) stated, staff walk around the room and playground while children are present and playing to ensure supervision for all the children.

Regarding allegation (2) Staff did not meet reporting requirements



LPA interviewed staff members. Staff members stated they have not witnessed staff did not meet reporting requirements. Staff #2 (S2) stated, staff follow facility's policy when staff report incidents to parents. Staff will document the incident on a ouch report and the director will sign it and give it to the parent at pick up and the parent will sign off on report when they receive it, and they will get a copy of the report.

LPA Duron interviewed 4 children. The 4 children interviewed made no disclosures regarding the above allegations.

LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility regarding the above allegations.



Based on the interviews and record review, there is insufficient evidence to corroborate the allegations: Staff did not provide adequate supervision resulting in children engaging in inappropriate interactions. Staff did not meet reporting requirements. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur in the day care facility, therefore the allegations are Unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Princy De Silva.

Page 2 of 2. End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2