013406853-12-21-2020-52-CC-AEVS-BWHV3F-20201221150438

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 013406853
Report Date: 12/21/2020
Date Signed: 12/21/2020 01:47:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/25/2020 and conducted by Evaluator Renee Reed

COMPLAINT CONTROL NUMBER: 52-CC-20200925101922

FACILITY NAME:	SPRINGFIELD MONTESSORI SCHOOL - DUBLIN		FACILITY NUMBER:	013406853
ADMINISTRATOR:	LINDA RUSS		FACILITY TYPE:	850
ADDRESS:	5100 BRANNIGAN STREET		TELEPHONE:	(925) 828-5102
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	231	CENSUS: 35	DATE:	12/21/2020
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Shashi Lal		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff member inappropriately handled day care child.

INVESTIGATION FINDINGS:

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Due to Covid-19 Shelter in Place Order Licensing Program Analyst Reed delivered the finding to Licensee Shashi Lal by telephone regarding the above complaint allegation. During the course of the investigation, interviews were conducted by telephone to the reporting party, parents, staff and Owner/Director. Based on interviews conducted, there was no witness who could confirm a staff member inappropirately handled a child; there is not enough evidence to prove if the allegation is true or false.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

A copy of this report and appeal rights were provided to Shashi Lal through email. Licensee agrees to sign the report and return to LPA.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Renee Reed	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2020

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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