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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343614059
Report Date: 12/13/2024
Date Signed: 12/13/2024 12:19:23 PM

Document Has Been Signed on 12/13/2024 12:19 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
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:LITTLE BLOSSOM MONTESSORI SCHOOL, INC.FACILITY NUMBER:
343614059
ADMINISTRATOR/
DIRECTOR:		RANATUNGA, SUBASHINI (SUE)FACILITY TYPE:
850
ADDRESS:2075 ARENA BLVDTELEPHONE:
(916) 515-0550
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY: 165TOTAL ENROLLED CHILDREN: 165CENSUS: 52DATE:
12/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Subashini RanatungaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On December 13th, 2024, Licensing Program Analyst (LPA) Mandie Goodwin met with Subashini Ranatunga for the purpose of a Case Management inspection to follow up on an Unusual Incident reported to Licensing on December 3rd, 2024. Upon arrival LPAs observed 52 children being supervised by 10 staff. LPA conducted an interview and reviewed documents related to the report. LPA made observations in the classroom.

No deficiencies were cited during today's inspection. LPA conducted an exit interview and provided a printed copy of this report to director Subashini Ranatunga. A Notice of Site Visit was also provided and shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2024
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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