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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843218
Report Date: 04/19/2022
Date Signed: 04/19/2022 04:00:44 PM


Document Has Been Signed on 04/19/2022 04:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:SUNNYMEAD MONTESSORI SCHOOLFACILITY NUMBER:
334843218
ADMINISTRATOR:TILLEKERATNE, DELRINEFACILITY TYPE:
840
ADDRESS:24851 BAY AVENUETELEPHONE:
(951) 924-1425
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:14CENSUS: DATE:
04/19/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Delrine TillekeratneTIME COMPLETED:
04:05 PM
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A non-compliance conference was held this date with the Riverside South East Child Care Regional Office and Sunnymead Montessori School. Present in the conference were Licensee,Delrine Tillekeratne and colleague R. Samath, Regional Manager (RM) Lya Johnson; Licensing Program Managers (LPM) Stephanie Hudak; Licensing Program Analysts (LPAs) Rachel Zeron and Anastasia Flores and Resource and Referral representative, Jill Johnson.

During the conference, compliance history of the Sunnymead Montessori School was discussed, as well as the facility’s most recent violation pertaining to the following Title 22 Regulation:

· Personal Rights

The violation pertained to licensee/teacher Delrine Tillekeratne hitting children with a book on the hand and tapping a child’s head in a rough manner. During a review of the investigation, it was also discovered that Ms. Delrine transferred a child from the preschool classroom to the school-age classroom. However, the child was not age appropriate for the school-age classroom.

During the conference, the licensee stated: Licensee likes the preschool age all the time, but the kindergarten teacher had to leave, so licensee had to take that class, knowing that it was not a preference. Licensee said this particular child was very rough and there were some kids that were not stable in walking and licensee decided to take the child to the older class to assist with the behaviors so licensee could have eyes on him. Licensee stated she recently created a form to give to the parents to sign in regards to the child’s daily behavior.

Licensee communicated with the parents when they had to sign the form regarding receiving a copy of the Type A citation.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 04/19/2022
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Licensee stated that she did not tell parents to write letters or what they said during investigation, only that when they stated if they could write a letter on her behalf. Licensee stated she would be open to additional training.

Licensee agrees to operate the facility in full compliance with the California Code of Regulations, Title 22, Division 12, Chapter 1. Licensee was advised to visit the Department’s website www.ccld.ca.gov on a regular basis for licensing updates and self-assessment tools, with particular attention to children’s personal rights regulations.

The facility will receive increased unannounced inspections from Community Care Licensing for the next 24 months. The increased inspections to expire on 4/19/2024. This is not to be considered probation, either formal or informal. Delrine Tillekeratne, Licensee, has been advised that continued violations of Personal Rights of children may result in a Legal Consultation regarding the facility’s operation.

The Licensee agrees to seek training, outside of the Department of Social Services, with either their local Resource and Referral, with Quality Start Consortium, or any other vendor regarding Personal Rights, Positive Discipline, and Difficult Behaviors in Children. Proof of enrollment must be submitted within 30 days of the date of this report and training completed within 60 days. Proof of completion must be submitted within a week of completing the training. The Licensee was provided with copies of the following regulations: Criminal Record Clearance and Operation of a Family Child Care Home. Also, provided were copies of the following Health and Safety Codes: 1596.8595 and 1596.885.

A copy of this report was reviewed and provided to the Licensee on this date.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022
LIC809 (FAS) - (06/04)
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