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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494645
Report Date: 10/25/2023
Date Signed: 10/25/2023 03:27:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/31/2023 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20230731162506
FACILITY NAME:WOODLAKE MONTESSORI PRESCHOOLFACILITY NUMBER:
197494645
ADMINISTRATOR:HORDAGODA, NOESHFACILITY TYPE:
850
ADDRESS:23363 BURBANK BLVDTELEPHONE:
(323) 767-4517
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:57CENSUS: 37DATE:
10/25/2023
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Sharon Collins & Darlene CabreraTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Food Service
INVESTIGATION FINDINGS:
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On 10/25/23, Licensing Program Analyst (LPA) V. Wheatley met with Director Sharon Collins and Administrator Darlene Cabrera regarding the above allegation. LPA toured the premises and observed 37 preschool children on the premises. LPA observed the caterer delivering the food today. LPA inspected the food and observed chicken tenders, french fries, fresh cucumbers, fresh oranges and bottled water. The food delivered is the same food listed on the menu and meets the food required according to Title 22 Regulations. LPA did not observe anything inappropriate with the food.

On 8/9/23, LPA met with Ms. Collins and Cabrera regarding the allegation and was informed that all children bring their lunch unless they purchase the hot lunch. LPA was informed that Healthy Hearts provides the hot lunch. LPA was provided a copy of the menu. LPA interviewed the owner over the phone and was informed of the state license. The caterer has been providng food at the facility for at least three years.

See LIC 9099C (PAGE 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
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 2
Control Number 58-CC-20230731162506
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WOODLAKE MONTESSORI PRESCHOOL
FACILITY NUMBER: 197494645
VISIT DATE: 10/25/2023
NARRATIVE
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Based on the information obtained, observations and interviews which were conducted the allegation is Unsubstantiated. An unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted. A copy of the report will be provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2