197403707-1-3-2022-12-CC-CBEL-CAC2MF-20220103163102

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197403707
Report Date: 01/03/2022
Date Signed: 01/03/2022 02:38:02 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/05/2021 and conducted by Evaluator Carol Heath

COMPLAINT CONTROL NUMBER: 12-CC-20211005133651

FACILITY NAME:	SIERRA MONTESSORI PRESCHOOL, LLC		FACILITY NUMBER:	197403707
ADMINISTRATOR:	NICOLE MEDINA		FACILITY TYPE:	850
ADDRESS:	18045-47 SIERRA HIGHWAY		TELEPHONE:	(661) 252-6422
CITY:	CANYON COUNTRY	STATE: CA	ZIP CODE:	91351
CAPACITY:	85	CENSUS: 12	DATE:	01/03/2022
		UNANNOUNCED	TIME BEGAN:	02:13 PM
MET WITH:	Lalanie Herath		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff inappropriately pulled on a daycare child while in care

INVESTIGATION FINDINGS:

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On 1/3/2022 at 2:19pm, Licensing Program Analyst (LPA) Carol Heath conducted a complaint inspection with Licensee Lalanie Herath for the purpose of delivering findings for the above allegation. This inspection was conducted virtually due to inclement weather.

During investigation of the complaint interviews were conducted, documents reviewed, and observations were conducted. Although the child was consistent in their disclosure there was not enough evidence to corroborate that the allegation more likely than not occurred. Based on all relevant information gathered during investigation of the complaint it was determined that the above allegation is unsubstantiated.

A finding that the allegation is unsubstantiated means that the allegation that lacks a preponderance of the evidence to prove that the violation occurred. A copy of this report, appeal rights, and notice of site visit was provided to the Licensee Lalanie Herath.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol Heath	TELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2022

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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