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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313619751
Report Date: 01/06/2025
Date Signed: 01/06/2025 02:21:29 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/01/2024 and conducted by Evaluator Katrina Owens
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20241101084917
FACILITY NAME:AMERICAN MONTESSORI ACADEMYFACILITY NUMBER:
313619751
ADMINISTRATOR:WISE, MICHELLEFACILITY TYPE:
850
ADDRESS:1050 DOUGLAS BLVDTELEPHONE:
(916) 786-3636
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:128CENSUS: 46DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Michelle Wise -DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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PERSONAL RIGHTS: Staff are handling day care children in a rough manner.
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted today by Licensing Program Analyst Owens. LPA met with Director Michelle Wise. Present at time of inspection were 46 preschool children and 8 staff.
The purpose of the inspection is to close a complaint investigation that was originally opened on November 4 2024.

Based on interviews and video footage that LPA Owens obtained, the video showed a child laying down for nap on a cot, a teacher patting the child on the back, then pounding the child on the back with her hand and the child appears to try to get up, lifting himself up and teacher rubbing child's back holding child down with her hand, preventing child from getting up. No injuries to the child occurred. The above allegation is substantiated.

The preponderance of evidence standard has been met during this investigation, therefore the above allegations are found to be SUBSTANTIATED. Violations of the California Code of Regulations, Title 22, Division 12 & Chapter 3 are being cited on the attached.
Notice of cite visit posted Appeal rights given and explained at time of inspection.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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 3
Control Number 03-CC-20241101084917
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: AMERICAN MONTESSORI ACADEMY
FACILITY NUMBER: 313619751
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/08/2025
Section Cited
CCR
101223(a)(3)
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PERSONAL RIGHTS:
The licensee shall ensure that each child is accorded the following personal rights:
To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature
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Director stated she will speak to staff regarding children personal rights and send a written sign statement to CCLD on or before POC due date
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This requirement was not met by a staff pounding a child on the back with her hand at nap time and preventing child from getting up.
This is an immediate risk to a child.
TYPE A citation issued
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LIC 9224 given and explained to director at tine of inspection.
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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: Mai Lor
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/01/2024 and conducted by Evaluator Katrina Owens
COMPLAINT CONTROL NUMBER: 03-CC-20241101084917

FACILITY NAME:AMERICAN MONTESSORI ACADEMYFACILITY NUMBER:
313619751
ADMINISTRATOR:WISE, MICHELLEFACILITY TYPE:
850
ADDRESS:1050 DOUGLAS BLVDTELEPHONE:
(916) 786-3636
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:128CENSUS: 46DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Michelle Wise -DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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3
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5
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8
9
PERSONAL RIGHT: Staff yells at day care children.
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted today by Licensing Program Analyst Owens. LPA met with Director Michelle Wise. Present at time of inspection were 46 preschool children and 8 staff.
The purpose of the inspection is to close a complaint investigation that was originally opened on November 04, 2024.

Based on conflicting interviews, the allegation that the staff inappropriately disciplines children in care and staff not providing adequate supervision to children are care is unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur. No citation issued.

An exit interview was conducted. Appeal rights were given and explained to the director at time of inspection.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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 3