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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313619751
Report Date: 03/27/2025
Date Signed: 03/27/2025 12:31:39 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
03/13/2025 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250313094647
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: 57DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Michelle WiseTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Day care children were left alone with an adult not qualified to provide supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jeremey McClain met with facility representative Michelle Wise to deliver findings for a complaint investigation. LPA observed 57 children supervised by 10 staff.

The following was alleged: Day care children were left alone with an adult not qualified to provide supervision. It was alleged that children were not supervised by qualified staff from the facility while they were taking pictures during recent picture days in March.

During the investigation, LPA conducted interviews with staff from the facility and from the photography company. Although it was stated that staff from the photography company have criminal record clearance, there was no evidence to prove that they have the required qualifications for a teacher, nor are they associated to the facility. Evidence suggests that there were times when children were left under the supervision of these staff without a qualified staff from the facility.
Continued on 9099-C


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 03-CC-20250313094647
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
VISIT DATE: 03/27/2025
NARRATIVE
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The preponderance of evidence standard has been met; therefore, the allegation is determined to be SUBSTANTIATED.

A Title 22 deficiency is cited on the 9099-D page of this report. If not corrected, this deficiency is considered a potential threat to the health and safety of children and care. Appeal Rights were provided. An exit interview was conducted with licensing representative Michelle Wise. A Notice of Site Visit was posted and shall remain posted for 30 days.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250313094647
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: 03/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/27/2025
Section Cited
CCR
1010216.1(j)
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Teacher Qualifications and Duties. (j) Each teacher shall visually observe aides under his/her supervision whenever the aide is working with children, except as provided for in Sections 101216.2(e)(1) and 101230(c)(1). This requirement was not based on interviews with staff from the facility and the
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Director stated that moving forward she will supervise the chidlren while they are taking pictures, and she will escort the chidlren to and from classroom for pictures as well. Director stated that she will have a qualified teacher as well to back her up in case she has to tend to other activities while children are
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photography company, Lil' Angels. It was deternined that unqualified staff were not always overseen by a qualified teacher while teh children were taking pictures. This poses a potential threat to the health and safety of children in care if not corrected.
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taking pictures.
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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: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC9099 (FAS) - (06/04)
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