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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 394500605
Report Date: 11/22/2022
Date Signed: 11/22/2022 01:49:49 PM

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
10/03/2022 and conducted by Evaluator Stacey Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20221003121335
FACILITY NAME:REDROSE MONTESSORI SCHOOLFACILITY NUMBER:
394500605
ADMINISTRATOR:REINBOLT, KELLYFACILITY TYPE:
850
ADDRESS:805 S CENTRAL PARKWAYTELEPHONE:
(209) 299-5437
CITY:MOUNTAIN HOUSESTATE: CAZIP CODE:
95391
CAPACITY:144CENSUS: 49DATE:
11/22/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Kelly ReinboltTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Supervision:Staff did not supervise child adequately resulting in an injury
Reporting Requirements: Staff did not inform authorized representative of incident
INVESTIGATION FINDINGS:
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On November 22, 2022, Licensing Program Analyst (LPA) Stacey Williams arrived at the facility for the purpose of delivering complaint findings. LPA met with Facility Representative. LPA observed forty nine (49) children supervised by 4 staff (4room) Three classrooms had napping preschoolers .

It was alleged that Staff did not adequately supervise a child in care which resulted in an injury. It was also alleged that staff did not inform the child's authorized representative of the incident. An investigation was conducted which consisted of a facility inspection, review of evidence and pertinent documentation in addition to interviews with the reporting party, facility staff and parents of children who attend the facility. Facility staff denied the accusation that staff did not adequately supervise C1. Staff reported they were told that C1's injury occurred during nap time when they fell and bumped their tooth. LPA reviewed video footage with C1 in the classroom during nap time.



Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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 53-CC-20221003121335
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: REDROSE MONTESSORI SCHOOL
FACILITY NUMBER: 394500605
VISIT DATE: 11/22/2022
NARRATIVE
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The classroom was supervised by staff that met ratio requirements. Staff was seen positioned in close proximity to C1. There was no observation of C1 falling; however C1 was observed pulling their backpack back and forth in their mouth while pulling the blanket over their head. C1's actions were unknown until the video footage was reviewed by staff. C1's authorized representative was informed of the incident after the video was reviewed.

Based on the information received, the allegations are determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur.

No Title 22 deficiencies have been cited for this complaint.

An Exit Interview was conducted in which the report was reviewed and discussed with Facility Representative, Kelly Reinbolt. Appeal rights provided. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Stacey Williams
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2