198400823-8-7-2025-54-CC-DGIS-DKRQBG-20250821120132

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198400823
Report Date: 08/07/2025
Date Signed: 08/07/2025 12:24:01 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/23/2025 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20250523092426

FACILITY NAME:	BLOOMING MINDS PRESCHOOL		FACILITY NUMBER:	198400823
ADMINISTRATOR:	MARIAN JAYASINGHE		FACILITY TYPE:	850
ADDRESS:	10225 OLD RIVER SCHOOL ROAD		TELEPHONE:	(818) 336-8624
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90241
CAPACITY:	34	CENSUS: 26	DATE:	08/07/2025
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Adharshi Perera		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Failure to notify parent

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegation. Upon arrival, LPA met the Center Director, Adharshi Perera. LPA observed proper care and supervision and ratio.
Based on records review and interviews were conducted. On 5/22/25, staff observed C1(See LIC811) fell during outdoor play and child was comforted. However, facility staff admitted they failed to notify a parent when the child was picked up from the center. Therefore, based on the preponderance of evidence, the allegation of facility failed to notify a parent when C1 sustained a minor injury was substantiated. A finding means that the complaint is substantiated, and the allegation is valid because the preponderance of the evidence standard has been met.
Type B deficiency was issued during today's visit.
The copy of this report was explained and issued to facility representative, Adharshi Perera.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/23/2025 and conducted by Evaluator Tiffanie Tran

COMPLAINT CONTROL NUMBER: 54-CC-20250523092426

FACILITY NAME:	BLOOMING MINDS PRESCHOOL		FACILITY NUMBER:	198400823
ADMINISTRATOR:	MARIAN JAYASINGHE		FACILITY TYPE:	850
ADDRESS:	10225 OLD RIVER SCHOOL ROAD		TELEPHONE:	(818) 336-8624
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90241
CAPACITY:	34	CENSUS: 26	DATE:	08/07/2025
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Adharshi Perera		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights- Lack of supervision
Personal Rights- Staff treated a child unfairly

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegation. Upon arrival, LPA met the Center Director, Adharshi Perera. LPA observed proper care and supervision and ratio.
Based upon the evidence obtained during the investigation through interviews, record reviews, and observation. On 5/22/25, staff observed C1 (see LIC811) was coming down the slide, child fell and sustained a small scratch on the forehead. The child was monitored and cold compression applied. S1 denied the allegation of treating C1 unfairly. The child appeared comfortable in the presence of S1. No signs of distress or discomfort when interacting with S1. In addition, there were no corroborate witnesses to support the allegation. Therefore, the evidence does not support, nor disprove the above allegation occurred at the facility. The allegations have been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated 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. The copy of this report was explained and issued to facility representative, Adharshi Perera.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 54-CC-20250523092426

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BLOOMING MINDS PRESCHOOL	FACILITY NUMBER: 198400823
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/07/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/29/2025 Section Cited CCR 101226(a)(2)	1 2 3 4 5 6 7	Health-Related Services This requirement is not met as evidenced by based on record review and interview conducted on 5/22/25 staff failed to notify a parent of the child’s minor injury upon pick up which poses a potential health and safety risk to children in care.	1 2 3 4 5 6 7	Center Director agrees to review the reporting requirement for injury with staff members. Then submit to LPA the review materials and staff signature of attendance by via email on or before 8/29/25 in order to clear this citation.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3