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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334842842
Report Date: 04/02/2021
Date Signed: 04/02/2021 09:31:51 AM



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
02/17/2021 and conducted by Evaluator Alaina Wilburn
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210217090244
FACILITY NAME:DE SILVA FAMILY CHILD CAREFACILITY NUMBER:
334842842
ADMINISTRATOR:DE SILVA, CHAMALIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 583-3077
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY:14CENSUS: 7DATE:
04/02/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Chamali De SilvaTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Licensee yells at the children

Licensee leaves the children unsupervised for hours
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced tele-inspection complaint visit, due to COVID-19. LPA met with Licensee Chamali DeSilva via WHATSAPP, to deliver findings on the above mentioned allegations. LPA toured the facility and observed 7 children in care at time of visit.

Investigation consisted of interviews with Licensee and pertinent parties.

Investigation revealed the following; Licensee denies yelling at day care children. During interviews, there was an inconsistency of information provided by children as it pertains to the Licensee yelling at children. LPA was unable to differentiate if the Licensee's voice was just a bit stern when redirecting behaviors or an actual yell. Licensee denies leaving children unsupervised for hours. It was alleged Licensee spends extended time in her room napping. There is no witness and the majority of interviews conducted did not corroborate this allegation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021
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 2
Control Number 10-CC-20210217090244
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: DE SILVA FAMILY CHILD CARE
FACILITY NUMBER: 334842842
VISIT DATE: 04/02/2021
NARRATIVE
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Although the allegation regarding (Licensee yells at the children. Licensee leaves the children unsupervised for hours) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Alaina WilburnTELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2