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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304300049
Report Date: 07/16/2024
Date Signed: 07/16/2024 02:44:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/06/2024 and conducted by Evaluator Vivian Trinh
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240606110053
FACILITY NAME:PERERA, WEERAFACILITY NUMBER:
304300049
ADMINISTRATOR:PERERA, WEERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 827-9079
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY:14CENSUS: 8DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Perera, Weera (Licensee) TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Adult in home left day care children unattended.
Licensee did not ensure the facility was kept clean.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) V Trinh conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on June 6, 2024. Upon arrival, LPA met with Licensee Perera, Weera to delivery the complaint findings. At 1:15 pm, LPA was guided on a toured the facility by Licensee, and a census was taken. At the time of the walk-through, LPA observed a total of 1 infant, 4 preschool children, and 3 school age children, with 2 staff members.

A review of staff criminal records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.
On June 6, 2024, a complaint was filed with the Licensing Office alleging (1) Licensee did not ensure the facility was kept clean. (2) Adults in the home left daycare children unattended.

Continued Page 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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 06-CC-20240606110053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: PERERA, WEERA
FACILITY NUMBER: 304300049
VISIT DATE: 07/16/2024
NARRATIVE
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Reporter Party (RP) stated the facility looked like it needed some tidying up and that the trash can needed a trash bag not a recycle bag and stated it is next to the changing table. RP then stated that trash bags cannot be plastic bags recycled from the market and that the trash can needs to have a lid on it. RP stated they visited the facility for possible enrollment in the program around 5:30 pm. RP observed around 4-5 children, around ages 7 years old and up playing in the backyard and that Staff #2 (S2) was inside the patio feeding an infant, facing out towards the backyard, however, no adult was observed out in the yard with the children. RP stated that Staff #1 (S1) was on their way home from the market.

During the investigation, LPA conducted a physical plant inspection, interviewed 2 staff members, 4 children, and 4 parents, and obtained the facility children’s roster.

LPA interviewed 4 children on 6/11/24. All the children disclosed that they were happy and under supervision from staff. The child 4 children disclosed that they always had adult supervision while outside.

All parents interviewed stated the licensees are great and very communicative. No parent expressed concerns about care and supervision or that the facility is unclean. In the interviews conducted with the children, the children stated they like their day-care, the licensee, and the assistant.

Staff interviewed, stated they clean the facility throughout the day and while children are napping, as this allows them to have more time to clean. Staff stated that they throw all the trash out during nap time at the big trash can located in the backyard. According to S2. On June 5, around 5:30 pm S2 was feeding the infant in the day-care/den area facing to the backyard to supervise the other children. Staff #1 (S1) was on the way back from the market. Both staff members stated they always supervise the children while they are in care. Based on the record review, on June 5, 2024, there 1 infant was eating, and 2 preschool and 2 school-age children were in the backyard playing.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20240606110053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: PERERA, WEERA
FACILITY NUMBER: 304300049
VISIT DATE: 07/16/2024
NARRATIVE
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When LPA toured the facility on 6/11/24, LPA observed S1 cleaning the kitchen, sanitizing the counter, and putting all the chairs away. S2 was watching the day-care children during their nap time. LPA observed the plastic trash bag was not there, and the changing table for day-care children was organized. According to S1, while children nap, staff collect all trash and put it in the big trash can in the backyard. LPA observed one small trash can with lid located in the kitchen.

Based on LPA’s observations, documents reviewed, and interviews conducted. There is insufficient evidence to corroborate the allegations that are Licensee did not ensure the facility was kept clean. License does not ensure day-care children are unattended. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted with Licensee, Perera, Weera. Notice of Site Visit was posted during the visit. Licensee was informed that the notice of site visit must be posted for 30 consecutive days. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.

The End of Report.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
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