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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334840727
Report Date: 11/15/2021
Date Signed: 11/15/2021 12:05:29 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/21/2021 and conducted by Evaluator Susan Brewer
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210621085625
FACILITY NAME:JAYASINGHE FAMILY CHILD CAREFACILITY NUMBER:
334840727
ADMINISTRATOR:JAYASINGHE, RANJANIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 746-3256
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY:14CENSUS: 5DATE:
11/15/2021
UNANNOUNCEDTIME BEGAN:
10:48 AM
MET WITH:Licensee Ranjani JayasingheTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Personal rights - Licensee does not provide Nutritional food to daycare children
INVESTIGATION FINDINGS:
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On the above date and time listed, Licensing Program Analyst (LPA) Susan Brewer, arrived unannounced at the facility for the purpose of concluding a complaint investigation, in response to a complaint received on 06/21/2021. An initial visit was conducted on 07/01/2021, interviews were conducted by the LPA and the investigation was extended. LPA conducted a COVID-19 screening of the facility, was greeted by the Licensee Ranjani Jayasinghe and granted entry into the facility. LPA toured the facility took a census and the above allegation was discussed with licensee and licensee spouse.

The allegation alleges the licensee does not provide nutritional food to the children in care. During the inspection on 07/01/2021 LPA observed licensee R. Jayasinghe, serve lunch to 6 children in care that looked to be well balanced. Interviews revealed 5 of the 7 interviewees corroborated that the licensee provides only water to children instead of milk or fresh juice as a beverage, 4 out of 5 interviewees corroborated that the licensee often serves rice with condiments of ketchup or butter as a meal and the licensee does not provide other foods were requested by children in care.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
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 5
Control Number 10-CC-20210621085625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: JAYASINGHE FAMILY CHILD CARE
FACILITY NUMBER: 334840727
VISIT DATE: 11/15/2021
NARRATIVE
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Based on the interviews, review of records and the information gathered, the preponderance of evidence has been met, therefore the above allegation has been SUBSTANTIATED. California Code of Regulations, Title 22 Division and Chapter Numbers Personal Rights 102426(a)(4) is being cited.

See Type B citation on the attached LIC9099D page.

An exit interview was conducted with Licensee, Ranjani Jayasinghe and licensee's spouse Manjula Epa, where Appeal Rights a copy of this report were provided,and report signed by licensee's spouse Manjula Epa.
A Notice of Site Visit was posted and must remain posted for 30 days for public review.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20210621085625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: JAYASINGHE FAMILY CHILD CARE
FACILITY NUMBER: 334840727
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/15/2021
Section Cited
CCR
102426(a)(4)
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Personal Rights 102426(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived...These rights include, but are not limited to, the following: (4) To be free from interference with eating, sleeping, toileting...
This regulation was not met as evidenced by:
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Per Licensee Ranjani Jayasinghe, a written and signed statement of understanding personal rights of children in care will be submitted to Community Care Licensing by November 30, 2021 by mail.
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Based on LPA interviews, record reviews & observation, the licensee Ranjani Jayasinghe, did not comply with the regulation, and failed to provide nutritous meals to children, according to federal nutrition guidelines & contracts, which poses a potential risk to the healty & safety of children in care.
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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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/21/2021 and conducted by Evaluator Susan Brewer
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210621085625

FACILITY NAME:JAYASINGHE FAMILY CHILD CAREFACILITY NUMBER:
334840727
ADMINISTRATOR:JAYASINGHE, RANJANIFACILITY TYPE:
810
ADDRESS:24951 SUNSET VISTA AVENUETELEPHONE:
(951) 746-3256
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY:14CENSUS: 5DATE:
11/15/2021
UNANNOUNCEDTIME BEGAN:
10:48 AM
MET WITH:Licensee Ranjani JayasingheTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Supervision - Licensee and/or Staff does not provide adequate supervision

Personal Rights - Safe and comfortable accommodations not provided during high temperature days of operation caused day care children to become ill from heat
INVESTIGATION FINDINGS:
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On the above date and time listed, Licensing Program Analyst (LPA) Susan Brewer, arrived unannounced at the facility for the purpose of concluding a complaint investigation, in response to a complaint received on 06/21/2021. An initial visit was conducted on 07/01/2021, interviews were conducte, records were reviewed by the LPA and the investigation was extended. LPA conducted a COVID-19 screening of the facility, was greeted by the Licensee Ranjani Jayasinghe and granted entry into the facility. LPA toured the facility took a census and the above allegations were discussed.

The first allegation alleges the Licensee Ranjani Jayasinghe and staff, do not provide adequate supervision to children in care where the Licensee would leave the children unsupervised on the 1st level of the home and outside of the home. Based on interviews conducted on 07/01/2021 and 07/16/2021 by LPA Susan Brewer with past and present enrolled children, 3 of the 4 interviews revealed the licensee and staff are present and supervising, which does not support the allegation that the licensee does not provide adequate care and supervision to children in care. Continued on LIC9099C:
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20210621085625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: JAYASINGHE FAMILY CHILD CARE
FACILITY NUMBER: 334840727
VISIT DATE: 11/15/2021
NARRATIVE
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CONTINUED FROM LIC9099A

The second allegation alleges the Licensee Ranjani Jayasinghe and staff, do not provide safe and comfortable accommodations to the children in care, where staff often leave day care children outside in the heat causing day care children to become ill from heat exposure. Based on interviews conducted 3 of the 4 interviewees corroborated that the licensee brings day care children inside the home where it is air conditioned, when the outside temperatures are too high. 2 of 4 interviewees recall becoming sick with a virus at an approximate time frame of other sick day care children, in which statements did not support an illness caused by heat exposure.

Although the allegations of the licensee and staff not providing adequate supervision and safe, comfortable accommodations to children in care may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

An exit interview was conducted where a copy of this report and Appeal Rights were provided to Licensee, Ranjani Jayasinghe and licensee spouse Manjula Epa, and signed by licensee's spouse.

A Notice of Site Visit was posted and must remain posted for 30 days for public review.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5