566211104-7-24-2026-17-CC-MMUR-DWDMY4-20260727100053

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566211104
Report Date: 07/24/2026
Date Signed: 07/24/2026 03:44:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2026 and conducted by Evaluator Seena Parsapour

COMPLAINT CONTROL NUMBER: 17-CC-20260415141309

FACILITY NAME:	SIMI VALLEY MONTESSORI SCHOOL		FACILITY NUMBER:	566211104
ADMINISTRATOR:	GRACE PEIRIS		FACILITY TYPE:	830
ADDRESS:	1776 ERRINGER ROAD #104		TELEPHONE:	(805) 584-7900
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	12	CENSUS: 8	DATE:	07/24/2026
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Grace Peiris		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Allegation #1: Staff neglected daycare child resulting in child being hospitalized due to severe dehydration.

INVESTIGATION FINDINGS:

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On 7/24/2026 at 2:30PM, Licensing Program Analyst (LPA) Seena Parsapour conducted an unannounced Complaint Investigation inspection of the abovementioned Child Care Center (CCC) for the purpose of delivering findings pertaining to the above listed allegation. LPA met with Facility Representative Grace Peiris and explained the nature & purpose of the inspection. At the time of the inspection, LPA observed eight (8) children under the care & supervision of three (3) staff members.
As noted above, the purpose of this inspection was to deliver findings pertaining to the above listed allegation. The complaint (control # 17-CC-20260415141309), received by the Department on 4/15/2026, was investigated by the Investigations Bureau (IB) of the California Department of Social Services (CDSS).
The investigation included unannounced inspections, observations, records review, and interviews. Interviews were conducted with parents of children currently enrolled and with staff members employed by the CCC. Records reviewed include, but are not limited to, medical records for Child #01 (C1).
(Cont. 9099-C, Page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

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 17-CC-20260415141309

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: SIMI VALLEY MONTESSORI SCHOOL	FACILITY NUMBER: 566211104
	VISIT DATE: 07/24/2026

NARRATIVE

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In regard to Allegation #1, observations, records reviewed, and interviews did not corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is deemed UNSUBSTANTIATED.
No deficiencies were cited during today’s inspection.
A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided to Facility Representative. Exit interview conducted and report was reviewed with the Facility Representative, Grace Peiris.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

LIC9099 (FAS) - (06/04)

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