197700033-12-11-2024-12-CC-MRAN-DBWU9H-20241213142311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197700033
Report Date: 12/11/2024
Date Signed: 12/11/2024 12:15:08 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, 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
09/30/2024 and conducted by Evaluator Justeene Tamayo

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20240930104056

FACILITY NAME:	SILVA AND SILVA FAMILY CHILD CARE		FACILITY NUMBER:	197700033
ADMINISTRATOR:	KUMUDUNI SILVA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 723-5230
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	14	CENSUS: 5	DATE:	12/11/2024
		UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Kumuduni and Janaka Silva, Licensee's		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Allegations:
-Personal Rights-Licensee left infant in a car seat for an extended period
-License- Licensee is not present in the home the required amount of time while the day care is operating

INVESTIGATION FINDINGS:

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On 12/11/24 Licensing Program Analyst (LPA) Justeene Tamayo met with licensee’s Kumunduni Silva and Janaka Silva for the purpose of concluding an investigation concerning the above complaint allegations. Upon arrival, LPA toured the facility and observed 5 preschool children in care,with both licensee's.

The investigation consisted of interviews with staff, children, parents, and other complaint relevant parties including the review of supportive documentation. Allegation #1: The investigation revealed a photo of Infant #1 sitting in a transportation car seat outside with Licensee Janaka, while the other daycare children were participating in outdoor activities. Allegation #2: Licensee Kumunduni admitted to providing childcare at another daycare center in Culver City every morning for approximately 2-3 hours. Afterward, Licensee Kumunduni drives back to the daycare home and arrives before 11 AM to assist Licensee Janaka with the children enrolled at their day care home.
Please see continuation page 9099-C for additional information.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024

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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Control Number 12-CC-20240930104056

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SILVA AND SILVA FAMILY CHILD CARE	FACILITY NUMBER: 197700033
	VISIT DATE: 12/11/2024

NARRATIVE

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Based on the information obtained, the above allegations are deemed substantiated. A finding of substantiated means that allegation is valid. The facility has been cited a Type A deficiency: Personal Rights 102423(a)(2) and a Type B Citation for Operation of a Family Child Care Home 102417(a). Please see LIC9099-D for Deficiency pages.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months and licensee will obtain a signed acknowledgment of Licensing Reports (LIC9224) from parent/guardian and place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview was conducted, and a copy of this report was provided to the licensee’s on this date, along with a copy of their appeal rights, and Notice of Site Visit.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20240930104056

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SILVA AND SILVA FAMILY CHILD CARE	FACILITY NUMBER: 197700033
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/11/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/11/2024 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Personal Rights 102423(a)(2) Each child receiving services from a family child care home shall have certain rights…These rights include……To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidence by:	1 2 3 4 5 6 7	LPA Tamayo obtained a declaration from the licensees confirming that infants will only be placed in car seats for only transportation purposes.
	8 9 10 11 12 13 14	LPA reviewed a picture of infant #1 sitting in a transportation car seat outside with licensee, while other day care children are participating in outdoor activities, which poses an immediatel health and safety risk to day care children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 12-CC-20240930104056

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SILVA AND SILVA FAMILY CHILD CARE	FACILITY NUMBER: 197700033
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/11/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/18/2024 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	Operation of a Family Child Care Home 102417(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times.... Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidence by:	1 2 3 4 5 6 7	The licensee signed a declaration confirming that she will be present at the family child care home at least 80 percent of the time. Additionally, she stated that she will no longer assist at other daycare centers or family child care homes while being licensed.
	8 9 10 11 12 13 14	Licensee admitted to assisting with her son’s Childcare Center located in Culver city in the mornings until 11AM, which poses a potential health and safety risk to day care children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024

LIC9099 (FAS) - (06/04)

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