334843218-1-27-2022-10-CC-SHUK-CB9MQW-20220202084926

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334843218
Report Date: 01/27/2022
Date Signed: 01/27/2022 11:04:25 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
10/08/2021 and conducted by Evaluator Rachel Zeron

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20211008140215

FACILITY NAME:	SUNNYMEAD MONTESSORI SCHOOL		FACILITY NUMBER:	334843218
ADMINISTRATOR:	TILLEKERATNE, DELRINE		FACILITY TYPE:	840
ADDRESS:	24851 BAY AVENUE		TELEPHONE:	(951) 924-1425
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92553
CAPACITY:	14	CENSUS: 11	DATE:	01/27/2022
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Delrine Tilleratne - Director/Licensee		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff member is physically abusive to children in care.

INVESTIGATION FINDINGS:

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On January 27, 2022, at 10:15 AM, Licensing Program Analyst (LPA) Rachel Zeron and Licensing Program Manager (LPM) Stephanie Hudak arrived at the facility to conduct an unannounced inspection to deliver findings of the above stated allegation. LPA and LPM met with Director Delrine Tillekeratne. A tour of the facility was conducted, and a census of children taken.

The complaint investigation was initiated on 10/08/2021. During the course of the investigation, LPA Zeron reviewed records and conducted interviews with facility staff, children, and pertinent witnesses. The investigative evidence revealed the following:

Interviews conducted with pertinent sources revealed that Staff #1 (S1) has been witnessed hitting children on the hand with a book and tapping a child’s head in a rough manner. S1 admitted having tapped child #1 (C1) on their head to get the child’s attention. S1 denies hitting the subject child or any other children in a rough manner with hand or with an object on their head.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4207
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

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 10-CC-20211008140215

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: SUNNYMEAD MONTESSORI SCHOOL	FACILITY NUMBER: 334843218
	VISIT DATE: 01/27/2022

NARRATIVE

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S1 admitted to calling child “slow” due to the child taking too long to complete tasks. It was also revealed that parent was not notified about C1 having issues in the classroom or that the child was having a hard time keeping up with the other children. Additional interviews with Parents indicated that the lack of communication when the children are being picked up or dropped off with S1 was bothersome to parents. According to interviews with parents conducted, children would be picked up at the door with no communication on the child’s day. On occasion, the door was open by S1 and as parents were approaching the door was closed before the parent reached the child.

Based on interviews conducted and documentation gathered, the allegations that staff member is physically abusive to children in care is Substantiated. The preponderance of evidence standard has been met and the facility is cited for violation of Title 22, Division 12, Chapter 1, Section 101223: Personal Rights. S1 violated the personal rights of children when tapping child on head to get their attention and hitting child(ren) on hand with a book.

This report cites a Type A violation and shall be provided to parents/guardians of children currently enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file. In addition, a copy of the Complaint Investigation Report (LIC9099) shall be posted next to the door and must remain posted for 30 consecutive days. LPA Zeron provided the Director, Delrine Tilleratne with section 1596.8595 instructions from the Health and Safety code related to Type A violations. LPA Zeron also provided a printout of LIC9224.

Exit interview was conducted with the Director, Delrine Tilleratne. Notice of Site Visit was posted during the inspection. The Director was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Appeal Rights and deficiency was discussed. The Director, Delrine Tilleratne 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.

SUPERVISOR'S NAME: Stephanie Hudak	TELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4207
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 10-CC-20211008140215

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: SUNNYMEAD MONTESSORI SCHOOL	FACILITY NUMBER: 334843218
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/27/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 01/28/2022 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	PERSONAL RIGHTS: The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, ......humiliation, intimidation.......threat, mental abuse ........... of a punitive nature .......This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Letter in writing will be submitted to LPA by the end of the business day on 01/28/2022
	8 9 10 11 12 13 14	Based on interviews conducted, Staff #1 was observed to hit children with a book on the hand and tapping a child’s head in a rough manner, which is a violation of the children's personal rights. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	.
CCR	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	8 9 10 11 12 13 14		8 9 10 11 12 13 14

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: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

LIC9099 (FAS) - (06/04)

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