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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846181
Report Date: 12/27/2022
Date Signed: 12/27/2022 09:46:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2022 and conducted by Evaluator Karrene Turner
COMPLAINT CONTROL NUMBER: 09-CC-20220919111855
FACILITY NAME:NORCO MONTESSORI ACADEMYFACILITY NUMBER:
334846181
ADMINISTRATOR:CHRISTI PADILLAFACILITY TYPE:
850
ADDRESS:2200 HAMNER AVE, SUITE 110TELEPHONE:
(951) 279-3454
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY:62CENSUS: 39DATE:
12/27/2022
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Christi Padilla, Program DirectorTIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Supervision - Staff did not adequately supervise day care child resulting in injuries
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kay Turner arrived at the facility to provide investigation findings of the reported above allegation. LPA Turner met with the Program Director, Christi Padilla, at the time of the inspection and stated the purpose of today’s inspection. LPA Turner toured the facility and took census. During the initial inspection on 09/23/2022, LPA Turner interviewed pertinent parties and obtained relevant documents related to the investigation.

The allegation states staff did not adequately supervise day care child resulting in injuries. It was alleged a child attending the facility was bitten on more than one occasion and sustained an injury after a fall at the facility resulting in the parent/authorized representative to seek medical attention. Per the written policy documented in the Parent Handbook regarding parent/staff communication, the facility provides written communication from the classroom and from the office such as “communication slips, ouch reports and special notes.” The parent/authorized representative noted receiving one incident report for the child. However, upon reviewing the child’s file at the facility, there were 2 written accident/injury/illness reports.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2022
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 2
Control Number 09-CC-20220919111855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: NORCO MONTESSORI ACADEMY
FACILITY NUMBER: 334846181
VISIT DATE: 12/27/2022
NARRATIVE
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The parent/authorized representative submitted photo documentation alleging the child sustained bites on 2 separate occasion. While the photo documentation indicates the child sustained bites to the upper inner and outer left arm. However, it could not be ascertained the injuries occurred on separate occasions. In addition, it could not be determined the injuries occurred while the child was in the care of Norco Montessori Academy, as the child also in attendance/care of another facility for part of their day. Regarding the parent/authorized representative stating the child was injured while at the facility resulting in medical attention being sought, the documentation provided only supports that the child was seen, but does not provide an explanation as to the nature of the medical visit. The child in question did not have an incident reports for having sustained injuries while at the facility.

Based on the interviews conducted, the review of the pertinent documentation and conflicting information, the allegation is UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

No deficiencies were found at this time.



Exit interview conducted and report was reviewed with the facility representative, Christi Padilla.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. A copy of this report was provided to the licensee and must be made available to the public for 3 years upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2