198017147-9-25-2019-54-CC-BVON-BGN8X3-20191004225341

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198017147
Report Date: 09/25/2019
Date Signed: 09/25/2019 02:59:46 PM

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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/17/2019 and conducted by Evaluator Armando J Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190917130112

FACILITY NAME:	WEE CARE MONTESSORI CENTER		FACILITY NUMBER:	198017147
ADMINISTRATOR:	DEVAPRIYA JAYASINGHE		FACILITY TYPE:	850
ADDRESS:	14134 CLARKDALE AVENUE		TELEPHONE:	(626) 497-0473
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	48	CENSUS: 16	DATE:	09/25/2019
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Mitzi Flores, Teacher & Devapriya Jayasinghe, Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Child sustained multiple insect bites while in care

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) A. Lucero regarding the allegation above. LPA met with Teacher Mitzi Flores as Director Devapriya Jayasinghe was unavailable at the initial start of the inspection. LPA was taken on a guided LPA on a tour of the indoors and outdoors of the facility by Teacher Mitzi Flores. Director arrived at 2:35pm to conclude inspection.

Complaint alleges child sustained multiple insect bits while in care. LPA interviewed facility staff. Per disclosures made by staff during interviews conducted and records obtained, it was determined that at least one child at the facility did sustain an insect bite while in care at the facility. LPA obtained Declaration Forms.

Based on the interviews concluded and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22 101238 Buildings and Grounds, is being cited on the attached LIC 9099-D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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 54-CC-20190917130112

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WEE CARE MONTESSORI CENTER	FACILITY NUMBER: 198017147
	VISIT DATE: 09/25/2019

NARRATIVE

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The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20190917130112

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WEE CARE MONTESSORI CENTER	FACILITY NUMBER: 198017147
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/25/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/07/2019 Section Cited CCR 101238(a)(1)	1 2 3 4 5 6 7	Buildings and Grounds The licensee shall take measures to keep the center free of flies, other insects, and rodents. The requirement is not met as evidenced by: It was stated during interviews that children have been bitten by insect while in care. This is a potential risk to children in care.	1 2 3 4 5 6 7	Director stated that the facility has been fumigated by a pest company. Director stated that he will also fumigated over the weekend as added protection against insects. Director will email LPA a copy of receipt of fumigation/spray products used by POC date of 10/7/19
	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
	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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

LIC9099 (FAS) - (06/04)

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