304313439-11-22-2022-06-CC-PMAA-CLPUS2-20221201144937

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304313439
Report Date: 11/22/2022
Date Signed: 11/22/2022 01:27:47 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, 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
09/12/2022 and conducted by Evaluator Stella Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220912135414

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: 6	DATE:	11/22/2022
		UNANNOUNCED	TIME BEGAN:	01:02 PM
MET WITH:	Halsi Rubasinghe, Licensee		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Personal Rights -Licensee allows day care child to excessively cry

INVESTIGATION FINDINGS:

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On 11/22/2022 Licensing Program Analyst, Stella Gutierrez made an unannounced visit to the facility for the purpose to deliver findings of complaint that was received at the Orange County Regional Child Care Program Office. LPA was met by the Licensee who was explained the reason for today’s visit. During today’s inspection
A review of the Facility Personnel Report Summary conducted on 11/22/2022 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

A complaint was received on 09/12/2022 alleging that the licensee allows day care child to excessively cry. The allegations were investigated.
On 09/14/2022 The reporting party stated they witnessed a child crying excessively in the AM hours of the week days and sometimes the crying will last for a long period of time. At one time the witness stated that the crying lasted 45 minutes up until 1 hour on 09/09/2022.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella Gutierrez	TELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

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 06-CC-20220912135414

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: 11/22/2022

NARRATIVE

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The witness stated that an infant was on their stomach crying on the grass area in the back yard and expressed concerned to the staff who stated to the witness, that they need to mind their own business. The witness further stated that there was an adult providing supervision while the infant was crying in the back yard.

On 09/20/2022. LPA Gutierrez made an unannounced inspection to the facility regarding the allegations of Personal Rights. LPA Interviewed the Licensee, Staff #1, and obtained a copy of the children’s facility roster (LIC 9040). Licensee stated that when an infant or child cries at the facility, the staff comfort them and that there are infants that are going through the teething stages and could be the reason for an increase in crying at the facility. Staff #1 stated that if a child in care starts crying that they try to figure out why and attend to the needs of the child.

LPA was able to interview and qualify two children out of the three children in care. Child #1 stated that a baby at the facility sometimes cries indoors but does not cry outdoors. Child#1 was asked if the baby cries for a long time and he/she stated “No”. Child #2 interviewed and stated that the baby at the facility does not cry.

On 09/30/2022 and 10/14/2022 LPA, Gutierrez conducted 03 parent interviews via phone calls of the children enrolled at the facility. There were no disclosures by any of the parents interviewed regarding the allegations mentioned.

Based on LPA’s observation and interviews conducted the allegations referenced on this report is Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation occurred.

Exit interview conducted and report was reviewed with the licensee, Halsi Rubasinghe. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella Gutierrez	TELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022

LIC9099 (FAS) - (06/04)

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