364841683-10-8-2021-09-CC-AROS-C87QSE-20211027122525

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364841683
Report Date: 10/08/2021
Date Signed: 10/08/2021 02:40:52 PM

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
10/01/2021 and conducted by Evaluator Elyse Jones

COMPLAINT CONTROL NUMBER: 09-CC-20211001155515

FACILITY NAME:	MONTESSORI SCHOOL OF CHINO HILLS		FACILITY NUMBER:	364841683
ADMINISTRATOR:	DEBORAH LEWIS		FACILITY TYPE:	850
ADDRESS:	14635 PIPELINE AVENUE		TELEPHONE:	(909) 393-1982
CITY:	CHINO	STATE: CA	ZIP CODE:	91710
CAPACITY:	124	CENSUS: 49	DATE:	10/08/2021
		UNANNOUNCED	TIME BEGAN:	09:04 AM
MET WITH:	Deborah Lewis, Director		TIME COMPLETED:	02:46 PM

ALLEGATION(S):

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Unqualified staff providing care and supervision to children in care

INVESTIGATION FINDINGS:

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On October 8, 2021 Licensing Program Analyst (LPA) Elyse Jones arrived at Montessori School of Chino Hills to initiate and deliver findings for a complaint. LPA conducted a tour of the facility inside & outside. Records were reviewed and interviews were conducted.

On October 1, 2021 a complaint was received alleging unqualified staff were providing care and supervision to children in care. It was noted that one or more staff with no units has provided supervision and care to the children in care. During the interviews with staff it was disclosed that all unqualified staff are never left alone with children except for napping and taking children to the restroom. It was also disclosed that when the facility was short staffed, an unqualified staff member provided supervision and care for short periods of time but it was unclear when those incidents occurred. Due to the conflict of information disclosed in the interviews, the Department is unable to determine whether unqualified staff were or were not left alone with children in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2021

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 09-CC-20211001155515

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: MONTESSORI SCHOOL OF CHINO HILLS	FACILITY NUMBER: 364841683
	VISIT DATE: 10/08/2021

NARRATIVE

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This agency has investigated the complaint alleging unqualified staff are providing care and supervision to children in care . Based on the interviews conducted, the review of pertinent documentation, 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 cited at this time.

Exit interview was conducted with Deborah Lewis. LPA reminded the Director that when she is creating a staffing plan, it is very important to verify transcripts and ensure aides are not left alone with the children other than when children are sleeping or they are escorting children to the restroom. Also, to ensure Lead Teachers are not left alone with more than 12 children.

Notice of Site Visit was issued and must be posted for 30 day.

A copy of this report was provided to the facility must be made available to the public for three years upon request.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2021

LIC9099 (FAS) - (06/04)

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