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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492845
Report Date: 04/29/2022
Date Signed: 04/29/2022 12:10:26 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220427130454
FACILITY NAME:SOUTH BAY MONTESSORI SCHOOLFACILITY NUMBER:
197492845
ADMINISTRATOR:EVIEN ESTRADAFACILITY TYPE:
850
ADDRESS:23104 HAWTHORNE BLVD.TELEPHONE:
(310) 375-5570
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:180CENSUS: 129DATE:
04/29/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Evien EstradaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Ratio: Facility is operating over ratio
INVESTIGATION FINDINGS:
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On 4/29/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of initiating the investigation regarding the allegation above. LPA met with Director, Evien Estrada. LPA observed 129 children with 16 staff.

During the investigation, LPA Casillas toured the inside and outside of the facility, interviewed the Director, and obtained a copy of the children’s roster and personnel report (LIC500).

Based on interviews, record review, and observations conducted and obtained during the investigation, there is a preponderance of evidence to deem the allegation is SUBSTANTIATED. A Type A deficiency was cited during today's inspection (see LIC 9099-D for details).
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
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 3
Control Number 30-CC-20220427130454
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: SOUTH BAY MONTESSORI SCHOOL
FACILITY NUMBER: 197492845
VISIT DATE: 04/29/2022
NARRATIVE
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PAGE 2

Upon receipt of this report, the Licensee shall post the Notice of Site Visit (LIC 9213) and any Licensing report
documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive
days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this
report shall be provided to the parent/guardian of children currently enrolled by the next business day or
immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly
enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224) form must be
maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the
Acknowledgement of Receipt of Licensing Reports (LIC 9224).

An exit interview was conducted. A copy of this report was provided to Director, Evien Estrada, along with appeal rights.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20220427130454
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SOUTH BAY MONTESSORI SCHOOL
FACILITY NUMBER: 197492845
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/29/2022
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...This requirement was not met as evidenced by:
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Director agrees to move 3 children in the kindergarten classroom (K1) to classroom P4 starting 5/2/2022. Director will submit a LIC855 Declaration to confirm the change via email by 5/2/2022.
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Based on observation, record review, and interview, LPA observed 27 chidlren with two fully qualified teachers in classroom K1, meaning the facility is out of ratio by 3 children. This poses an immediate health, safety, and personal rights risk to childiren in care.
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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.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3