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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846780
Report Date: 05/28/2026
Date Signed: 05/28/2026 02:08:31 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/05/2026 and conducted by Evaluator Elyse Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20260505162205
FACILITY NAME:COUNTRYSIDE MONTESSORI ACADEMYFACILITY NUMBER:
334846780
ADMINISTRATOR:JAFFERY,ZAINABFACILITY TYPE:
860
ADDRESS:2266 GRIFFIN WAYTELEPHONE:
(951) 340-2821
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:74CENSUS: 48DATE:
05/28/2026
UNANNOUNCEDTIME BEGAN:
01:32 PM
MET WITH:Luz Martinez, Lead TeacherTIME COMPLETED:
02:18 PM
ALLEGATION(S):
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Staff are not meeting day care child's diapering needs resulting in a rash
INVESTIGATION FINDINGS:
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On May 28, 2026 Licensing Program Analyst (LPA) Elyse Jones arrived at the facility to deliver findings. LPA conducted a tour and took census. There were 42 preschoolers and six infants present.

On May 5, 2026, a complaint was received alleging Staff are not meeting day care child's diapering needs resulting in a rash. Specifically, it was alleged a child was left in a soiled diaper containing feces for an extended period of time, which reportedly caused redness and irritation. On the day of the alleged incident, the child had been in care for approximately two and a half hours. Upon pickup, a noticeable odor was reportedly present. Facility Staff stated children in care are diaper changed every two hours or more frequently, as needed.

The Department received photographic documentation related to the allegation. However, the photographs were not taken immediately upon discovery of the alleged rash. Due to the delay in documentation, the
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
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 09-CC-20260505162205
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: COUNTRYSIDE MONTESSORI ACADEMY
FACILITY NUMBER: 334846780
VISIT DATE: 05/28/2026
NARRATIVE
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severity of the redness had reportedly subsided, leaving only minimal visible signs of irritation at the time the photographs were taken.

The Director and Staff stated they were not aware of any child being left in a soiled diaper for an extended period of time that would result in a rash. No diapering logs were available for review for the child involved.

This agency has investigated the complaint. Based on the conflict of information, interviews conducted, documentation review, and the Department’s inability to determine whether the rash occurred at the facility or not, the allegations are UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

No deficiencies cited at this time.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and a copy of this report provided to Luz Martinez, Lead Teacher.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC9099 (FAS) - (06/04)
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