304313439-5-25-2022-06-CC-PMAA-CF5P2S-20220606105625

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304313439
Report Date: 05/25/2022
Date Signed: 05/25/2022 11:40:17 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/09/2022 and conducted by Evaluator Alanna Gontarek

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220309140951

FACILITY NAME:	RUBASINGHE, HALSI & LALITHA		FACILITY NUMBER:	304313439
ADMINISTRATOR:	RUBASINGHE, HALSI & LALITH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 270-1560
CITY:	IRVINE	STATE: CA	ZIP CODE:	92805
CAPACITY:	14	CENSUS: 8	DATE:	05/25/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Halsi Rubasinghe, Licensee		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Day care children's needs are not being met.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

An unannounced complaint inspection was made on this day by Licensing Program Analysts (LPAs) Alanna Gontarek and Dianna Valdez Santana to the licensed home day care. LPAs met with licensee, Halsi Rubasinghe to discuss the above allegation. Census was taken. LPAs observed licensee and licensee’s assistant, Natasha Hernandez with 2 infants and 3 preschool children upon arrival. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Day Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

cildren, Investigation was conducted and completed by LPA Alanna Gontarek. LPA made observations, reviewed

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

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 3

Control Number 06-CC-20220309140951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: RUBASINGHE, HALSI & LALITHA	FACILITY NUMBER: 304313439
	VISIT DATE: 05/25/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 2:
records, conducted interviews with complainant, licensee, Halsi Rubasinghe, two adults residing in the home, licensee’s assistant (S1), 3 children, and 4 children’s authorized representatives. LPA obtained the following documentation: Facility Roster, Unusual Incident Report dated 9/8/21, and licensee’s notes submitted to the department from incident on 9/7/21.

Per complainant, some of the younger children/babies are often heard crying for hours. Children’s needs are not being met.

During interview conducted with licensee, Halsi Rubasinghe, it was disclosed that there was one 10-month old child attending in September 2021 that was teething and crying for an extended amount of time due to pain from teething. Licensee stated she gave teething toys to C1 and provided comfort to C1. Licensee submitted an Unusual Incident report on 9/8/21 regarding C1 crying and a neighbor addressing concern of the young child crying. It was confirmed during interview conducted with C1’s authorized representative that C1 was teething and crying from being in pain in September 2021. Licensee stated C1 was the only child that has ever cried for an extended amount of time in her daycare in 4 years.
During interview conducted with licensee’s assistant (S1), no disclosures were made about children crying for an extended period of time. S1 stated there are no children/infants that cry for an extended amount of time, and stated when children cried, S1 would go up to the child and see what happened, see how bad the pain is, and would clean the area that was hurt and get a band aid. LPA asked S1 if Licensee would let the children cry and S1 stated, “No, she would go to child and comfort the child.”
During interviews with licensee and licensee’s assistant, both stated the children’s daily activity schedule is free play until Circle Time. Circle Time is around 10:30 a.m. After Circle Time, the children do work/curriculum. After work, the children go outside and play for an hour. After that it's lunch time. After lunch, it's nap time from 12:30 p.m. to 3:30 p.m. And then after nap, it's snack time. The children go outside to play until parents pick up children.
During interviews conducted with 2 adults living in the home, no disclosures were made regarding children crying. Both adults stated the children are observed to be happy and playing.
During interviews conducted with 4 out of 4 children’s authorized representatives, there were no disclosures of concerns, and 4 out of 4 children’s authorized representatives stated children were happy and Licensee, Halsi was great with the children.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20220309140951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: RUBASINGHE, HALSI & LALITHA	FACILITY NUMBER: 304313439
	VISIT DATE: 05/25/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Page 3
LPAs Gontarek and Valdez Santana interviewed 3 out of 5 children on today’s date, 5/25/22. LPAs were unable to qualify 2 of the 5 children, due to being non-verbal infants. During interviews conducted with verbal children, 2 out of 3 children stated observed infants crying due to being hungry at lunch time and cried when being put down for nap. C2 stated that Licensee or Licensee's assistant will feed the infants when they cry at lunch time.

On 3/15/22, LPA observed the children to be playing with toys and staff were engaged with the children.

This agency has investigated the complaint alleging Day care children's needs are not being met and found that although the allegation may have happened or is valid; Based on Parent, Staff, and children statements there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed Unsubstantiated. Should additional information become available in the future, this investigation may be reopened.

Exit interview conducted with Licensee Halsi Rubasinghe. A copy of this report (LIC 9099) and the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights.

A Confidential Names list (LIC811) was provided during this visit.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in a visible location for the authorized representatives of children.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (714) 703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3