304370936-6-21-2021-06-CC-RLOZ-C4QV7L-20210708161118

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370936
Report Date: 06/21/2021
Date Signed: 06/21/2021 03:23:28 PM

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
05/17/2021 and conducted by Evaluator Eileen Corral

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210517140342

FACILITY NAME:	SHINING STAR MONTESSORI PRESCHOOL		FACILITY NUMBER:	304370936
ADMINISTRATOR:	THAMOTHERAM, SAROJNI		FACILITY TYPE:	850
ADDRESS:	1239 NORTH HARBOR BLVD.		TELEPHONE:	(714) 312-9493
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	60	CENSUS: 10	DATE:	06/21/2021
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Adminstrator - Ira Vithanage		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff member hit day care child

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA’s) Corral and Quinto conducted a complaint investigation with Administrator - Ira Vithanage in response to a complaint received on 05/17/2021 regarding Children’s Personal Rights. This is a continuation of the investigation initiated on 05/25/2021. This visit was conducted to deliver findings on the complaint investigation. LPA Corral reviewed the COVID-19 Emergency Response questionnaire which was answered by Adminstrator.

During the inspection LPA Corral and Quinto conducted a walk-through of the Facility. LPA Corral and Quinto observed 10 napping children present in care and 2 teachers providing care. A review of the Facility Personnel Report Summary conducted on 06/21/2021 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Continue to Page 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021

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-20210517140342

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: SHINING STAR MONTESSORI PRESCHOOL	FACILITY NUMBER: 304370936
	VISIT DATE: 06/21/2021

NARRATIVE

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Page 2.
The complaint received on 05/17/2021 alleged that a Staff member (S1) hit a day care child (C1). Prior to the 10 Day Initial Visit LPA Corral interviewed C1’s Mother. During the initial 10 Day Tele-Inspection LPA Corral interviewed Administrator Ira Vithanage and the staff who allegedly hit the child (S1). During the interview with C1’s mother on 05/21/2021, mother stated her child told her that S1 hit him in the face. Child also told his mom he was hit by another friend C2. C1’s mother stated she contacted the Administrator Ira to inquire about the incident. C1’s mother visited the Facility on 05/14/2021 and spoke with Ira, the alleged teacher S1 and an additional teacher (S2). C1’s Mother stated she asked her child what happened. Her child then pointed to the alleged teacher S1 and said, “she hit me on my face”. Mother stated Ira and teacher denied allegation and said the incident did not happen.

During the Initial 10 Day Tele-Inspection, LPA Corral conducted an interview with Administrator Ira. Ira stated she does not have a problem with S1 and S1 has been employed with the Facility for 2 years. Ira also questioned S2 about the incident and S2 stated she has not seen S1 hit a child during her time of employment. When LPA Corral questioned Alleged Staff Member (S1) regarding the allegation, S1 stated she would not hit a child.

Administrator Ira informed LPA Corral that C1’s mother visited the Facility on Monday 05/17/2021 to speak to her and S1. Ira stated child is happy and comfortable in the Facility. LPA Corral also contacted C1’s mother on 06/21/2021, Mother confirmed that C1 is back in care and has not had issues with the facility. Based on the interviews that LPA Corral conducted there is insufficient evidence to corroborate that a Staff Member hit a day care child. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview was conducted and report was read to Administrator Ira. A copy of the Investigation Report along with Appeal Rights were provided to the Administrator, Appeal Rights were also explained. Director was informed first level of appeal is directed to Regional Manager to the address listed above. Notice of Site Visit was posted.

End of Report.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:	DATE: 06/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2021

LIC9099 (FAS) - (06/04)

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