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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198006301
Report Date: 11/10/2022
Date Signed: 11/10/2022 01:30:33 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2022 and conducted by Evaluator Crystal Green
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20221003115728
FACILITY NAME:FLINTRIDGE MONTESSORI PRE-SCHOOL & ELEMENTARY, INCFACILITY NUMBER:
198006301
ADMINISTRATOR:DAVID NIMALI ROHINIFACILITY TYPE:
850
ADDRESS:1739 FOOTHILL BOULEVARDTELEPHONE:
(818) 790-8844
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY:85CENSUS: 44DATE:
11/10/2022
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:David Nimali RohiniTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Lack of Supervision
Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Crystal Green and Enjoli Maeweather conducted an unannounced annual inspection. LPAs met with Administrator, Pabasara Navaratne who provided LPAs a tour of the facility. Shortly after, Director Rohini Nimali David, arrived at the facility. The purpose of the site visit is to deliver findings for the above complaint allegations

During the course of this investigation, Licensing staff conducted staff interviews and obtained documents. Based on the information obtained from the interviews, at this time there is not enough evidence to support the above allegations. Therefore, although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, the above allegations are deemed unsubstantiated. No citation is being issued during today’s inspection.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022
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 2
Control Number 33-CC-20221003115728
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FLINTRIDGE MONTESSORI PRE-SCHOOL & ELEMENTARY, INC
FACILITY NUMBER: 198006301
VISIT DATE: 11/10/2022
NARRATIVE
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Exit interview was conducted with Director. The Administrator was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2