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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343621206
Report Date: 10/21/2021
Date Signed: 10/21/2021 11:23:06 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/18/2021 and conducted by Evaluator Jan Hoshida
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211018153408
FACILITY NAME:VINEYARD MONTESSORIFACILITY NUMBER:
343621206
ADMINISTRATOR:GREEN, JULIEFACILITY TYPE:
850
ADDRESS:8827 GERBER ROADTELEPHONE:
(916) 667-9544
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:94CENSUS: 54DATE:
10/21/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Jennifer (May) ReadTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Facility is not adhering to COVID mask protocol for day care children.
INVESTIGATION FINDINGS:
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On Thursday, 10/21/2021 at 8:30am, Licensing Program Analyst (LPA) Jan Hoshida made an unannounced inspection of the facility and met with Director Jennifer (May) Read to conduct a complaint investigation of the above allegations. Upon arrival, LPA observed 54 children supervised by 12 staff. During the investigation, LPA conducted interviews, reviewed documentation, and made observations.

During the inspection, LPA observed all staff were masked and out of 54 total children, 27 children were observed wearing a mask in the five classrooms. Staff and Director stated that the staff encourage children to wear a mask, however they cannot force a child to wear a mask which would be against their personal rights. LPA heard staff encourage children to put on their mask during transition times, after eating snack, and to cover their mouths when they coughed or sneezed. LPA reviewed facilities current mask policy which states that “preschool and Kindergarten students need to have a face covering at school while indoors”.

REPORT CONTINUED ON NEXT PAGE
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Jan Hoshida
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
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 03-CC-20211018153408
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: VINEYARD MONTESSORI
FACILITY NUMBER: 343621206
VISIT DATE: 10/21/2021
NARRATIVE
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Based on the evidence obtained, the allegation is unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it. Exit interview was conducted and a copy of this report and Notice of Site was provided.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Jan Hoshida
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2