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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415095
Report Date: 12/04/2024
Date Signed: 12/04/2024 11:45:14 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/02/2024 and conducted by Evaluator Jennifer Beehler
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20241202132600
FACILITY NAME:ONE WORLD MONTESSORI SCHOOL, INC. LEIGHFACILITY NUMBER:
434415095
ADMINISTRATOR:KAREN BAMBERGFACILITY TYPE:
850
ADDRESS:4343 LEIGH AVENUETELEPHONE:
(408) 615-1254
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY:67CENSUS: 32DATE:
12/04/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Kristi BurdsellTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Personal Rights - Rat infestation on property
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer "Jen" Beehler conducted an unannounced 10 day complaint investigation. LPA was greeted by the Office Manager (OM), Kristi Burdsall and stated the purpose of today's visit was to conduct confidential interviews and investigate the facility grounds.

Based on interviews, observations, and evidence gathered during the investigation process, the Department concludes that the exterior grounds has evidence of rats present. The allegation noted above is thus found to be SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

One "Type B" deficiency is being cited on the attached LIC 9099-D. Exit interview conducted and report was reviewed and provided along with appeal rights to the Office Manager Kristi Burdsall and Director Karen Bamberg.

NOTICE OF SITE VISIT WAS PROVIDED AND MUST BE POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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 3
Control Number 07-CC-20241202132600
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ONE WORLD MONTESSORI SCHOOL, INC. LEIGH
FACILITY NUMBER: 434415095
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/04/2024
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds: (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement has not been met as evidenced by:
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Facility will fill in any hole around the property where rats could access the play yard. Facility will provide proof of completion by Friday 12/06/2024.

Continue to work with Clark Pest Control to remove rats and keep them from facility grounds.
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Facility grounds show evidence rats based on observations, interviews and evidenced gathered.
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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: Joel Segura
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC9099 (FAS) - (06/04)
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