376701178-11-28-2023-10-CC-DMUN-CYRTCP-20231222133705

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701178
Report Date: 11/28/2023
Date Signed: 11/28/2023 01:07:20 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 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
11/14/2023 and conducted by Evaluator Keely Messerschmidt

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20231114094616

FACILITY NAME:	PINK TOWER MONTESSORI-INFANT		FACILITY NUMBER:	376701178
ADMINISTRATOR:	JAYASINGHE, CHANDANI		FACILITY TYPE:	830
ADDRESS:	203 LAURINE LANE		TELEPHONE:	(760) 728-4754
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY:	12	CENSUS: 5	DATE:	11/28/2023
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Vipula Rajapakse		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not provide a safe and comfortable environment for children
Facility is in disrepair

INVESTIGATION FINDINGS:

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On the above date and time listed, Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering the complaint findings on the above-referenced allegations. LPA met with Authorized Representative Vipula Rajapakse. LPA toured the facility, conducted census, and verified facility staff and children enrollment. LPA discussed with Authorized Representative the conclusion of the complaint investigation.

On October 4th, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not provide a safe and comfortable environment for children and that the facility is in disrepair. LPA Messerschmidt toured the facility, conducted interviews with the Director and staff but was unable to corroborate allegations.

See LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Keely Messerschmidt	TELEPHONE: (951) 781-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

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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Control Number 10-CC-20231114094616

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: PINK TOWER MONTESSORI-INFANT	FACILITY NUMBER: 376701178
	VISIT DATE: 11/28/2023

NARRATIVE

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Regarding the allegation that staff did not provide a safe and comfortable environment for children, based on interviews conducted it was disclosed that there are always 2 staff members with the children at all times to ensure the needs of the children are being met. Lastly, regarding the allegation that the facility is in disrepair, based on observation it appears that duck tape is used to cover parts of the Exit sign and baseboard. Interviews conducted disclosed that duck tape is covering parts of the Exit sign to avoid children from picking at it, and duck tape was placed on the base board to keep it from peeling off. LPA did not observe any disrepair in the facility.

Based on the information obtained during this investigation, it has been determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Authorized Representative, Vipula Rajapakse, and a copy was provided. Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and Authorized Representative understands that it must remain posted for 30 days.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Keely Messerschmidt	TELEPHONE: (951) 781-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2023

LIC9099 (FAS) - (06/04)

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