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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371431
Report Date: 10/10/2023
Date Signed: 10/10/2023 01:05:11 PM

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
08/24/2023 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230824165641
FACILITY NAME:MONTESSORI HARBOR MESA SCHOOLFACILITY NUMBER:
304371431
ADMINISTRATOR:DE FRENZA, GIULIANAFACILITY TYPE:
850
ADDRESS:3025 DEODAR AVENUETELEPHONE:
(714) 549-3803
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:63CENSUS: 20DATE:
10/10/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Giuliana De Frenza, DirectorTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Licensee allows unqualified staff to work at facility.
Staff are not providing adequate supervision to day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nguyen Nick Tran conducted an unannounced complaint inspection to interview the children and deliver the findings for the above allegations. This is a continuation of the investigation initiated on 08/29/23. At 9:30am, LPA Tran met with Director Giuliana De Frenza, who guided LPA on tour of the facility. Census was taken and observed were 20 children and 5 staff in 2 different classrooms. LPA informed the Director the purpose of the visit.

A review of the Facility Personnel Report Summary on 10/10/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

(Continue next page)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
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 3
Control Number 06-CC-20230824165641
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: MONTESSORI HARBOR MESA SCHOOL
FACILITY NUMBER: 304371431
VISIT DATE: 10/10/2023
NARRATIVE
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(Page 2 of Report)

On 08/24/2023, the Regional Office received a complaint with allegations (1) Licensee allows unqualified staff to work at facility and (2) Staff are not providing adequate supervision to day care children. It was alleged that all hired staff did not have 12 units in Early Childhood Education (ECE) and due to lack of supervision, Child #1 (C1) sustained injury on 08/23/23 outside on the play yard.

During the investigation, LPA interviewed 4 staff on 08/29/2023 and attempted to interview 5 children on 10/10/2023. LPA also reviewed C1's file and staff records including records of all current teachers at the facility, 2 former employees and 1 on-call staff.

During record reviews, LPA did not observe any report in C1's file regarding any injury on 08/23/23. LPA also reviewed a total of 8 staff's records including records of 5 current staff members, 2 former staff and 1 on-call staff. 7 out of 8 reviewed records showed that the staff members are fully qualified teacher with 12 or more units in ECE. 1 of 8 reviewed records showed that staff #2 (S2), the teacher aid, has 6 units in ECE and is currently enrolled in another ECE course.

During the interviews, all 4 interviewed staff denied that S2, was ever left alone with the children except during nap time. All interviewed staff given consistent responses about supervision procedure including always keeping an eye on the children and never leave a child unattended. All interviewed staff denied that there was any incident occurred to C1 on 08/23/2023, hence there was no injury/incident report for child on the alleged date. On 10/10/2023, LPA attempted to interview 5 children including C1, none of the children qualified for the interview.

Based on information gathered from LPA's interviews with 4 staffs, attempt interviews with 5 children and record reviews of 8 staff's files including 5 current staff, 2 former staff and 1 on-call staff, there is insufficient evidence to corroborate the allegations (1) Licensee allows unqualified staff to work at facility and (2) Staff are not providing adequate supervision to day care children therefore, the allegations regarding (1) Licensee allows unqualified staff to work at facility and (2) Staff are not providing adequate supervision to day care children are UNSUBSTANTIATED.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20230824165641
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: MONTESSORI HARBOR MESA SCHOOL
FACILITY NUMBER: 304371431
VISIT DATE: 10/10/2023
NARRATIVE
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(Page 3 of Report)

Appeal Rights were explained. The Director was provided a copy of appeal rights (LIC 9058) 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. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Giuliana De Frenza.

(End of Report)
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Nguyen K Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3