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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371739
Report Date: 08/06/2026
Date Signed: 08/06/2026 03:35:10 PM

Substantiated


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
05/14/2026 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20260514113518
FACILITY NAME:OHANA MONTESSORIFACILITY NUMBER:
304371739
ADMINISTRATOR:HAGERUP, CHRISTINEFACILITY TYPE:
860
ADDRESS:2102 NORTH TUSTIN AVENUETELEPHONE:
(415) 465-2999
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:82CENSUS: 14DATE:
08/06/2026
UNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Director, Elizabeth DoanTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff are not keeping the sleeping area for infants physically separate from the indoor activity space.
Staff are commingling infants and preschool children.
INVESTIGATION FINDINGS:
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On 08/06/2026, Licensing Program Analyst (LPA) D. Valdez Santana made an unannounced visit to Ohana Montessori for the purpose to deliver findings of a complaint that was received. Upon arrival, LPA was met by Director, Elizabeth Doan who was explained the reason for today’s visit. LPA was provided with a tour of the facility; census was taken. LPA observed 6 Staff caring for 14 children (3 infants with 1 staff, 4 toddlers with 3 staff & 7 preschoolers with 2 staff) at the time of inspection. The Director stated currently there are 22 children enrolled in the daycare.
A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 05/14/2026 a complaint was filed with the Licensing office stating, Staff are not keeping the sleeping area for infants physically separate from the indoor activity space and Staff are commingling infants and preschool children. Page 1 of 3
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
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 5
Control Number 06-CC-20260514113518
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: OHANA MONTESSORI
FACILITY NUMBER: 304371739
VISIT DATE: 08/06/2026
NARRATIVE
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Page 2

Reporting Party (RP) stated “On 05/11/2026, the director moved all of the infant equipment to the “Sky Room,” including the cribs. RP states there is no partition or moveable wall separating the infant sleeping area from the infant play area. RP also states commingling preschool-age children and infants occurred from 7:00 AM to 9:00 AM and 2:00 PM to 6:00 PM. RP provided 3 pictures showing there was no separation from the sleeping area and the activity space in the “Sky Room”.

During the course of investigation, LPA interviewed 2 staff members, 2 parents; children were not interviewed due to young age and being non-verbal.

Regarding the allegation, Staff are not keeping the sleeping area for infants physically separate from the indoor activity space. Two out of two staff disclosed that for a time the sleeping area was not physically separate from the activity space. Four parents were contacted for interviews, and LPA was able to interview 2. Two out of two parents interviewed made no disclosures about the above allegation.

LPA’s observations during the investigation, LPA observed that there was a partition between the napping area and the activity space, but the partition was only partial allowing infants that are playing in the activity space to gain access to the napping area potentially disrupting napping children.


Regarding the allegation, Staff are comingling infants and preschool children. Two out of two staff disclosed that comingling between the children was taking place. Two out of two staff confirmed that the ages that are combined were infants, toddlers and preschoolers. One of two parents interviewed stated they think they are still comingling children.

LPA’s observations during the inspection, LPA Valdez Santana observed 2 staff in the “Sky room” caring for 2 infants, one toddler and one preschool-aged child. The RP provided a photo of a post showing infants being comingled in the morning with older children.

During the course of the investigation LPA obtained a copy of the Children's Roster and Personnel Report.

Based on LPA’s interviews and record review, the preponderance of evidence has been met; therefore, the allegations of Staff are not keeping the sleeping area for infants physically separate from the indoor activity space and Staff are commingling infants and preschool children were found to be Substantiated.

Page 2 of 3

SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20260514113518
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: OHANA MONTESSORI
FACILITY NUMBER: 304371739
VISIT DATE: 08/06/2026
NARRATIVE
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Page 3

California Code of Regulations, Title 22, Division 12, Chapter 1, CCR 101438.3 Indoor Activity Space for Infants- Type B and CCR 101161(a) Limitations on Capacity- Type A is being cited. See LIC9099D for deficiencies cited.

LPA Valdez Santana informed Director, Elizabeth Doan, that this report dated 08/06/2026 documents one Type A citation which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Valdez Santana informed the Director to provide a copy of this licensing report dated 08/06/2026 that documents any Type A citations 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 was conducted, and report was reviewed and discussed with Director, Elizabeth Doan. Notice of Site Visit was posted during the visit. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

Page 3 of 3. End of Report.

SUPERVISORS NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20260514113518
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: OHANA MONTESSORI
FACILITY NUMBER: 304371739
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/07/2026
Section Cited
CCR
101438.39(c)(1)
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101438.39(c)(1) Indoor Activity Space for Infants-(c)The calculation of indoor activity space...(1)The sleeping area for infants shall be physically separate from the indoor activity space. This separation shall be accomplished as specified in (b) above.
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Director stated the sky room was rearranged to ensure that the sleeping area has a complete partition to separate the sleep area from the play area. Director stated she understands it must remain separate. LPA observed the partition completely separates the nap area from the play area.
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This requirement was not met as evidenced by LPA Two out of two staff disclosed that for a time the sleeping area was not physically separate from the activity space.
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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.
SUPERVISOR'S NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20260514113518
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: OHANA MONTESSORI
FACILITY NUMBER: 304371739
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/07/2026
Section Cited
CCR
101161(a)
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101161(a) Limitations on Capacity- (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement was not met as evidenced by:
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Director stated she is no longer comingling the children. Director will submit the Plan of Correction by POC due date.
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Two out of two staff disclosed that comingling between the children was taking place & stated the ages that are combined are infants, toddlers and preschoolers. One of two parents interviewed stated they think they are still comingling children. LPA also observed comingling on 5/20/26.
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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.
SUPERVISOR'S NAME: Tina Nguyen
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5