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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343614059
Report Date: 06/20/2023
Date Signed: 06/20/2023 02:58:14 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/05/2023 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20230405141654
FACILITY NAME:LITTLE BLOSSOM MONTESSORI SCHOOL, INC.FACILITY NUMBER:
343614059
ADMINISTRATOR:RANATUNGA, SUBASHINI (SUE)FACILITY TYPE:
850
ADDRESS:2075 ARENA BLVDTELEPHONE:
(916) 515-0550
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:165CENSUS: 46DATE:
06/20/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Subashin RanatungaTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
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8
9
Staff do not provide adequate supervision to the daycare children while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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9
10
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13
On June 20th 2023 Licensing Program Analyst (LPA) Mandie Goodwin and Jeremey McClain met with Director Subashini Ranatunga to conduct addition interviews for a complaint investigation and deliver findings. Upon arrival LPAs observed 46 children being supervised by 8 staff.

It was alleged that staff was not adequately providing supervision. During the course of the investigation LPA conducted interviews, made observations, and collected additional documentation. During the course of the investigation LPAs did not find enough supporting evidence that a lack of supervision had occurred.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No title 22 deficiences are cited. Exit interview was conducted with Subashini Ranatunga and appeal rights were provided. Notice of site visit is posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Seychelle De LucaTELEPHONE: (916) 263-5719
LICENSING EVALUATOR NAME: Mandie GoodwinTELEPHONE: (916) 639-2867
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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