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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701467
Report Date: 12/19/2023
Date Signed: 12/19/2023 11:58:51 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2023 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20231106121831
FACILITY NAME:KINDERLAND MONTESSORI - SCHOOL AGEFACILITY NUMBER:
376701467
ADMINISTRATOR:CAROLINA VALENCIAFACILITY TYPE:
840
ADDRESS:625 OTAY LAKES ROADTELEPHONE:
(619) 479-4007
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:48CENSUS: 0DATE:
12/19/2023
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Carolina Valencia, DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not require children to be signed in and out of care.
INVESTIGATION FINDINGS:
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On 12/19/2023 at 10:20 am, Licensing Program Analyst (LPA) Michelle Hood conducted an unannounced complaint inspection regarding the above allegation with the director. LPA toured the facility. The LPA interviewed three school-age children.

Based on the LPA's observation, record review, and interviews with the staff, daycare parents and daycare children, it was determined the teacher's were not signing the school-age children in or out from the before and after school program.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC 9099D. An exit interview was conducted, and the report was reviewed with the director. The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
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 4
Control Number 20-CC-20231106121831
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KINDERLAND MONTESSORI - SCHOOL AGE
FACILITY NUMBER: 376701467
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/20/2023
Section Cited
CCR
101529.1(b)
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101529.1 (b) Sign In and Sign Out. Center staff shall sign in a school-age child who arrives at the center on his/her own. This requirement was not met by: the private school teacher and after school program teacher have not been signing the children into the facility. This is a potential health & safety risk to children in care.
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The director will create a revised sign-in and out sheets for the children. The school-age children will be cared for in classroom #4 with a quailified teacher.
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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: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/06/2023 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20231106121831

FACILITY NAME:KINDERLAND MONTESSORI - SCHOOL AGEFACILITY NUMBER:
376701467
ADMINISTRATOR:CAROLINA VALENCIAFACILITY TYPE:
840
ADDRESS:625 OTAY LAKES ROADTELEPHONE:
(619) 479-4007
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY:48CENSUS: 0DATE:
12/19/2023
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Carolina Valencia, DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not supervise children at all times.
Facility operated out of ratio.
INVESTIGATION FINDINGS:
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On 12/19/2023 at 10:20 am, Licensing Program Analyst (LPA) Michelle Hood conducted an unannounced complaint inspection regarding the above allegations, with the director. LPA toured the facility. LPA interviewed three daycare children.

Based on observation, record review, interviews with the staff, daycare parents and daycare children, it was determined staff supervise the children while in care and opeartes in ratio. The staff, parents and daycare children interviewed stated there is supervision and there's at least two staff present when the children are in care.

Due to conflicting statements obtained during the investigation, the above allegations are found to be UNSUBSTANTIATED meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and the report was reviewed with the director. The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 20-CC-20231106121831
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KINDERLAND MONTESSORI - SCHOOL AGE
FACILITY NUMBER: 376701467
VISIT DATE: 12/19/2023
NARRATIVE
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Notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiencies were cited.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4