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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494781
Report Date: 06/17/2025
Date Signed: 06/17/2025 10:43:02 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
05/16/2025 and conducted by Evaluator Tyra Chavies
COMPLAINT CONTROL NUMBER: 30-CC-20250516121332
FACILITY NAME:VILLAGE PARK MONTESSORI PRESCHOOLFACILITY NUMBER:
197494781
ADMINISTRATOR:PERERA. SHIRANIFACILITY TYPE:
850
ADDRESS:4240 ARTESIA BLVDTELEPHONE:
(310) 592-0970
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY:52CENSUS: 32DATE:
06/17/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Shirani PereraTIME COMPLETED:
10:40 AM
ALLEGATION(S):
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Phyical Plant- Staff do not ensure the day care center is free of mold
INVESTIGATION FINDINGS:
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On 06/17/2025 Licensing Program Analyst, LPA, Tyra Chavies, met with assistant Director, Elizabeth Cooper, for the purpose of an unannounced Case Management visit to deliver complaint findings. There were 32 children being supervised by 6 staff members and two third party facilitators. Around 9:45 AM, licensee arrived and LPA continued case management visit with licensee.

06/17/25 LPA Chavies conducted in person interviews with S#1, S#2, S#3, S#4, S#5, S#6 and assistant director
06/13/25 LPA Chavies conducted telephone interviews with P#4, P#5, P#6
06/11/25 LPA Chavies attempted to conducted interviews with P#1 and P#2
06/09/25 LPA Chavies received facility documents via email from Licensee
05/21/25 LPA Chavies conducted in person interviews with Director and Licensee
05/21/25 LPA Chavies observed children in care, observed physical plant, took pictures, obtained a copy of the facility roster, personnel roster and facility documents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Tyra Chavies
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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 3
Control Number 30-CC-20250516121332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VILLAGE PARK MONTESSORI PRESCHOOL
FACILITY NUMBER: 197494781
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2025
Section Cited
CCR
101238(a)
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The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirements is not met as evidence by Based on observation, interview and record review, the licensee did not comply with the section cited above.
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Licensee must ensure the child care center shall be clean, safe, sanitary and in good repair at all times.

POC DUE DATE: 06/24/25
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Tyra Chavies
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20250516121332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VILLAGE PARK MONTESSORI PRESCHOOL
FACILITY NUMBER: 197494781
VISIT DATE: 06/17/2025
NARRATIVE
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Based on LPA's observation, record review, interviews conducted, the preponderance amount of evidence standard has been met. Therefore, the above allegation, Staff do not ensure the day care center is free of mold, is found to be SUBSTANTIATED. Per California Code of Regulations and Healthy and Safety codes, this facility is being cited a Type B on the attached LIC 9099D.

An exit interview was conducted with licensee, Shirani Perera, this report was read and a copy of this report was given.

Notice of site visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Tyra Chavies
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3