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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419095
Report Date: 02/07/2023
Date Signed: 02/07/2023 03:02:16 PM

Unsubstantiated


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
11/15/2022 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20221115133746
FACILITY NAME:WEERASINGHE FAMILY CHILD CAREFACILITY NUMBER:
197419095
ADMINISTRATOR:WEERASINGHE, LAKSHIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 267-7848
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:14CENSUS: 13DATE:
02/07/2023
UNANNOUNCEDTIME BEGAN:
02:11 PM
MET WITH:Hasitha WeerasingheTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider not meeting daycare child’s diapering needs resulting in a diaper rash.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 02/07/23 Licensing Program Analyst (LPA) Justin Dorsey conducted a complaint investigation at the facility to deliver complaint investigation findings. Upon arrival LPA met with Hasitha Weerasinghe. LPA observed 13 children in care with Licensee and Assistant #1.
During the course of the investigation LPA Dorsey interviewed, licensee, complainant, and parents of the program. As part of the investigation LPA Dorsey obtained the facilities children roster. After observations and interviews with parties related to the allegations it was found that the allegations could not be collaborated. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility is not providing a safe and healthful environment, Therefore the above allegation are Unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Hasitha Weerasinghe along with Notice of Site Visit and Appeal Rights.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
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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