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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846182
Report Date: 06/16/2025
Date Signed: 06/16/2025 02:33:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 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
04/28/2025 and conducted by Evaluator Susan Brewer
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250428113345
FACILITY NAME:NORCO MONTESSORI ACADEMYFACILITY NUMBER:
334846182
ADMINISTRATOR:CHRISTI PADILLAFACILITY TYPE:
830
ADDRESS:2200 HAMNER AVE, SUITE 110TELEPHONE:
(951) 279-3454
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY:16CENSUS: 9DATE:
06/16/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Licensee Aruni Geekiyanage and Christi PadillaTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff did not adequately supervise infant on changing table
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Susan Brewer made an unannounced visit to the facility for the purpose of continuing a complaint investigation regarding the above allegation and to deliver findings. The LPA was greeted and granted entry into the facility by Director Christi Padilla, to tour the facility inside and out. The LPA took a census of 9 children supervised by 4 staff.

The investigation was initiated on 05/05/2025, the LPA met with the director Christi Padilla to discuss the Personal Rights allegation. During the investigation, the LPA made observations, reviewed and obtained facility records and interviewed parties pertinent relevant to the allegation. The director was informed more time is needed to complete the investigation. On today’s date, the LPA met with Director Christi Padilla and the following was shared with a facility representative.

See LIC9099C Page 2- Substantiated
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
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 09-CC-20250428113345
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: NORCO MONTESSORI ACADEMY
FACILITY NUMBER: 334846182
VISIT DATE: 06/16/2025
NARRATIVE
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It was alleged that a facility staff did not adequately supervise an infant on changing table. The LPA conducted a review of children’s records which indicated that on 10/23/2023 a subject infant/toddler fell from a changing table when a subject staff stepped away from the table. Interviews conducted with pertinent parties confirmed the incident took place. It was also reported there were no injuries to the child as a result of the fall and the child did not require medical attention following the incident.

Records obtained during the investigation indicate the licensee documented the lack of supervision on internal form for accidents/illness/injury/report, to provide to the subject child’s authorized representatives and kept the record as required, however the facility did not report the incident to the licensing department as required. In addition, the subject staff involved in the incident is no longer employed at the facility. Therefore, the allegation that a facility staff did not adequately supervise infant on changing table, is determined to be substantiated.

Based on LPA’s observations, interviews, record reviews and by the licensee director's own admission, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22,101429(a)(1) Responsibility for Providing Care and Supervision for Infants, are being cited on the attached LIC9099D.

LPA Susan Brewer informed licensee director Christi Padilla, that this report dated 06/16/2025 documents a Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Susan Brewer informed the licensee director Christi Padilla to provide a copy of this licensing report dated 06/16/2025 that documents any Type A citation 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.

A deficiency for a Type A violation was issued on today’s date.
No civil penalty was issued.
Exit interview was conducted and a copy of this report was provided to the Director Christi Padilla.
A notice of site visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20250428113345
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: NORCO MONTESSORI ACADEMY
FACILITY NUMBER: 334846182
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/17/2025
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times
This regulation was not met as evidenced by:
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The licensee agrees to submit a written plan to ensure staff are mainting Responsibility for Providing Care and Supervision for Infants, while conducting supervision and duties to care for children at all times, and participate in training regarding supervision..
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Based on interviews, facility record review and the licensee's own admission, a subject staff changing an infant, walked away from a subject child, which resulted in a child falling from the changing table, which an immediate risk to the health and safety of children in care:
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In addition, the licensee agrees to sumit the written plan to the department with proof of staff participation in training by fax, mail or e-mail.
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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: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3