376300747-9-12-2024-10-CC-PBER-D9ASP2-20240920140222

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376300747
Report Date: 09/12/2024
Date Signed: 09/12/2024 01:51:27 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/06/2024 and conducted by Evaluator William M Chancellor Jr.

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20240806154456

FACILITY NAME:	SHADOWRIDGE MONTESSORI SCHOOL		FACILITY NUMBER:	376300747
ADMINISTRATOR:	SANDRINE BUNTIN		FACILITY TYPE:	850
ADDRESS:	1940 SHADOWRIDGE DRIVE		TELEPHONE:	(858) 922-5128
CITY:	VISTA	STATE: CA	ZIP CODE:	92081
CAPACITY:	144	CENSUS: 82	DATE:	09/12/2024
		UNANNOUNCED	TIME BEGAN:	01:21 PM
MET WITH:	Sandrine Buntin, Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff mismanaged day care child's medication.

INVESTIGATION FINDINGS:

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On September 12, 2024, at 1:20PM, Licensing Program Analyst (LPA), William Chancellor arrived unannounced to Shadowridge Montessori School (CCC) and met with Director (DIR) Sandrine Buntin to discuss the investigative findings of the allegation listed above. On August 8, 2024, at 8:45AM, LPA conducted a tour, took census of the CCC and gathered evidence relevant to the investigation. During the investigation, LPA made observations and conducted confidential interviews with six staff (S1-S6).

On August 6, 2024, a complaint was received alleging that staff mismanaged day care child's medication. Specifically, that upon disenrolling Child 1 (C1) CCC did not have a medication on site to return to the family. Record review confirmed C1 allergy was disclosed in enrollment paperwork and the facility took necessary precautions to list C1 allergy in all classrooms. Due to conflicting information provided, it cannot be confirmed that the medication was onsite upon enrollment but returned when the medication expired. Four of four interviews could not corroborate that the medication was returned to the family and child did not return with a new medication. LPA confirmed CCC staff have improved current policies and protocol for parents to sign in and out medications.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

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 10-CC-20240806154456

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: SHADOWRIDGE MONTESSORI SCHOOL	FACILITY NUMBER: 376300747
	VISIT DATE: 09/12/2024

NARRATIVE

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Based on interviews and record review, LPA is unable to corroborate the allegation that staff mismanaged day care child's medication. This allegation may have occurred; however, it is not supported, or proven by evidence. Therefore, the above allegation is unsubstantiated.

An exit interview was conducted, a copy of this report, and appeal rights, along with a Notice of Site Visit was handed to Director Sandrine Buntin. Notice of Site Visit must remain posted for 30 consecutive days in a prominent place, visible to families and caregivers.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024

LIC9099 (FAS) - (06/04)

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