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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750070
Report Date: 09/12/2024
Date Signed: 09/12/2024 11:32:26 AM


Document Has Been Signed on 09/12/2024 11:32 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:GRANADA HILLS MONTESSORI PRESCHOOLFACILITY NUMBER:
197750070
ADMINISTRATOR:VILLALOBOS, GLADYSFACILITY TYPE:
850
ADDRESS:11451 WOODLEY AVETELEPHONE:
(818) 360-7448
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:75CENSUS: DATE:
09/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Gladys Villalobos, DirectorTIME COMPLETED:
11:46 AM
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On September 12, 2024 at 11:00 AM, an unannounced Case Management visit was conducted by Licensing Program Manager I (LPM) Raul Navarro, and Licensing Program Analyst (LPA) Elicia Calvillo for the purpose of serving an Immediate Exclusion for Noresha Jayasundara, Dinushra Herath and Iresha Kumari Weerakkody Gedara, employees of this facility. LPM and LPA met with Gladys Villalobos, Director at the facility, located in Granada Hills, CA 91344.

Licensee representative Gladys Villalobos, Director was served with the following by Licensing Program Manager, Raul Navarro:
  • ORDER TO INDIVIDUAL OF IMMEDIATE EXCLUSION FROM ALL FACILITIES: Noresha Jayasundara, Dinushra Herath and Iresha Kumari Weerakkody Gedara,
  • ORDER TO LICENSEE OF IMMEDIATE EXCLUSION FROM ALL LICENSED FACILITIES: Noresha Jayasundara, Dinushra Herath and Iresha Kumari Weerakkody Gedara,
  • Appeal Rights
  • Government Code 11522

LPM and LPA advised Facility Representative that Noresha Jayasundara, Dinushra Herath and Iresha Kumari Weerakkody Gedara, is excluded from Granada Hills Montessori Preschool 197750070, and any other licensed facilities by the Department of Social Services. Licensee and Noresha Jayasundara, Dinushra Herath and Iresha Kumari Weerakkody Gedara, have 15 days to submit an appeal. The address for the appeal was provided to Licensee. Licensing staff served the exclusion letter to Noresha Jayasundara, via Certified mail, Dinushra Herath in person, and Iresha Kumari Weerakkody Gedara was served by a Licensing Program representative from the Palmdale Regional Office, on 09/12/2024.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Elicia CalvilloTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:
DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/12/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: GRANADA HILLS MONTESSORI PRESCHOOL
FACILITY NUMBER: 197750070
VISIT DATE: 09/12/2024
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Licensee representative Notified LPM and LPA that Noresha Jayasundara was ternintated on 07/03/2024, and Dinushra Herath and Iresha Kumari Weerakkody Gedara, were terminated on 07/05/2024 and have not been present at this facility since that date.

Exit interview was conducted with Gladys Villalobos, Director. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Elicia CalvilloTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC809 (FAS) - (06/04)
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