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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371595
Report Date: 07/09/2025
Date Signed: 07/09/2025 11:26:39 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
05/23/2025 and conducted by Evaluator Alma Castro
COMPLAINT CONTROL NUMBER: 06-CC-20250523123943
FACILITY NAME:LIMAI MONTESSORI ACADEMYFACILITY NUMBER:
304371595
ADMINISTRATOR:NIEMELA, JUDIFACILITY TYPE:
850
ADDRESS:30075 COMERCIOTELEPHONE:
(949) 589-6440
CITY:RANCHO STA MARGARITASTATE: CAZIP CODE:
92688
CAPACITY:72CENSUS: 35DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Director, Judi NiemelaTIME COMPLETED:
11:40 AM
ALLEGATION(S):
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Facility has a leak that has damaged walls and staff are having to use a porta potty outside in the parking lot.
INVESTIGATION FINDINGS:
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On 7/9/2025, Licensing Program Analyst (LPA), Alma Castro, conducted an unannounced subsequent visit to the facility to deliver the findings for a complaint that was initiated on 05/28/2025. LPA met with the director, Judi Niemela and explained the reason for the visit. LPA was led on a tour of the facility and observed a total of 35 children and 5 staff.

On 05/23/2025, the Orange County Regional Child Care Licensing Office received a complaint with the allegations listed as: (1) Facility has a leak that has damaged walls and staff are having to use a porta potty outside in the parking lot.

On 05/28/2025, LPA made an unannounced visit to inspect the facility’s physical plant and interview staff. Facility representative provided LPA with employee roster, children’s roster, invoices and other pertinent documents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
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-20250523123943
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371595
VISIT DATE: 07/09/2025
NARRATIVE
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On 07/09/2025, LPA Castro conducted another inspection of the facility’s physical plant. LPA observed that the staff restroom is now fully renovated and operational. LPA also observed that the portable restroom at the facility is no longer present.

During the investigation, LPA conducted observations of the facility’s portable restroom while adult/staff/children’s restroom was in disrepair. LPA examined the portable restroom for cleanliness and reasonable accommodations. LPA obtained and reviewed a series of billing documents. Additionally, LPA interviewed seven (7) staff, contacted six (6) parents, but only two (2) responded and were interviewed.

During the inspection conducted on 05/28/2025, LPA observed a portable restroom in the parking lot of the facility. LPA inspected the portable restroom and determined that it was considered clean, functional and convenient. LPA was also able to obtain documentation that the portable restroom was serviced and cleaned regularly.

The Orange County Regional Child Care Licensing Office has investigated the complaint alleging that Facility has a leak that has damaged walls and staff are having to use a porta potty outside in the parking lot. Based on the information gathered from LPA’s interviews, observations and record reviews, although the allegations may have happened or is valid, there was not a preponderance of evidence to prove the alleged allegations: Facility has a leak that has damaged walls and staff are having to use a porta potty outside in the parking lot is unsubstantiated.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director, Judi Niemela.

End of Report.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
05/23/2025 and conducted by Evaluator Alma Castro
COMPLAINT CONTROL NUMBER: 06-CC-20250523123943

FACILITY NAME:LIMAI MONTESSORI ACADEMYFACILITY NUMBER:
304371595
ADMINISTRATOR:NIEMELA, JUDIFACILITY TYPE:
850
ADDRESS:30075 COMERCIOTELEPHONE:
(949) 589-6440
CITY:RANCHO STA MARGARITASTATE: CAZIP CODE:
92688
CAPACITY:72CENSUS: 35DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Director, Judi NiemelaTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
2
3
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5
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9
Facility did not report to licensing that there is a leak in the facility bathroom that has caused that bathroom wall to be under demolition.
INVESTIGATION FINDINGS:
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On 7/9/2025, Licensing Program Analyst (LPA), Alma Castro, conducted an unannounced subsequent visit to the facility to deliver the findings for a complaint that was initiated on 05/28/2025. LPA met with the director, Judi Niemela and explained the reason for the visit. LPA was led on a tour of the facility and observed a total of 35 children and 5 staff.

On 05/23/2025, the Orange County Regional Child Care Licensing Office received a complaint with the allegations listed as: (2) Facility did not report to licensing that there is a leak in the facility bathroom that has cause that bathroom wall to be under demolition.

On 05/28/2025, LPA made an unannounced visit to the facility, inspected the facility’s physical plant and interviewed staff. Facility representative provided LPA with employee roster, children’s roster, invoices and other pertinent documents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20250523123943
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371595
VISIT DATE: 07/09/2025
NARRATIVE
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On 07/09/2025, LPA Castro conducted another inspection of the facility’s physical plant. LPA observed that the children’s restroom is now fully renovated and operational. Facility has resumed use of both of the restrooms, previously out of service.

During investigation, LPA conducted observations of the facility’s portable restroom, adult/staff/children’s restroom in disrepair, examined the staff portable restroom accommodations for cleanliness, functionality and reviewed a series of billing documents. LPA also interviewed seven (7) staff, contacted six (6) parents, but only two (2) responded and were interviewed.

During record review and staff interviews, it was revealed that there was a children’s restroom connected to the adult/staff restroom that was also in disrepair. As a result of this, children had to use another restroom. This caused a disruption to normal programming.

The Orange County Regional Child Care Licensing Office has investigated the complaint alleging that the Facility did not report to licensing that there is a leak in the facility bathroom that has caused that bathroom wall to be under demolition. Based on information gathered from LPA’s observations, interviews and record reviews, the preponderance of evidence standard has been met, therefore the allegation is substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, Section 101212(e)(4) Reporting Requirements

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director, Judi Niemela.

End of Report.

SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20250523123943
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: LIMAI MONTESSORI ACADEMY
FACILITY NUMBER: 304371595
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/10/2025
Section Cited
CCR
101212(e)(4)
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Reporting Requirements 101212(e)(4) The items below shall be reported to the Department within 10 working days following their occurrence: (4)Any changes in the plan of operation that affect services to children.

This requirement is not met evidenced by:
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Director states they will submit a written declaration acknowledging that they have read, reviewed and understand the Reporting Requirements for California Code of Regulations, Title 22.
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Based on LPA's observations on 05/28/2025 and interviews with 7 staff which posed a potential risk to the health, safety and personal rights 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: Nguyen K Tran
LICENSING EVALUATOR NAME: Alma Castro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5