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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304300049
Report Date: 07/13/2026
Date Signed: 07/13/2026 01:10:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
06/01/2026 and conducted by Evaluator Vivian Trinh
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20260601145052
FACILITY NAME:PERERA, WEERAFACILITY NUMBER:
304300049
ADMINISTRATOR:PERERA, WEERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 827-9079
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY:14CENSUS: 7DATE:
07/13/2026
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Perera, Weera (Licensee)TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Child was touched innapropriately by another child .








INVESTIGATION FINDINGS:
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On 7/13/2026, Licensing Program Analyst (LPA) Vivian Trinh, and Licensing Program Analyst (LPA) Seung Lee conducted an unannounced subsequent visit to the facility to deliver the findings for a complaint that was initiated on 06/08/2026. LPA met Licensee Perera Weera and explained the reason for the visit. LPA was led on a tour of the facility and observed a total of two (2) infants, three (3) preschoolers, two (2) school age children, and two (2) staff members.

A review of staff criminal clearance records on this date 7/13/2026 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Continued Page 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
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-20260601145052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: PERERA, WEERA
FACILITY NUMBER: 304300049
VISIT DATE: 07/13/2026
NARRATIVE
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Page 2.
On 06/1/2026, a complaint was filed with the Department alleging that the child was touched inappropriately by another child. During the investigation, LPA Trinh conducted a physical plant inspection and interviewed three (3) staff members and two (2) children, and four (4) parents. LPA Trinh also obtained pertinent documents.

During staff interviews, all staff members stated that they did not witness the incident. They became aware of it only after Child #3’s (C3’s) parents returned to the facility and expressed concerns regarding an incident involving Child #1 (C1). Staff Member 1 (S1) completed an incident report regarding C1 and placed it in the child’s file. The report was filed because C1 inappropriately touched another child while all children in care were on the same floor with two staff members.

During record review, the LPA obtained a written declaration from S1, who stated that the incident occurred during operating hours. S1 also noted that the children involved were old enough to communicate and explain what happened. Additionally, the LPA interviewed C1, who admitted to touching another child's buttocks near the eating table by the map on the sliding door.
On 06/24/2026, LPA called four (4) parents requesting an interview. The parents interviewed did not express any concerns about the allegations or provide any information that could corroborate them.

Based on the information gathered from LPA interviews and record reviews, it has been determined that the allegation that Child was touched inappropriately by another child. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, was observed and cited today: CCR 101229(a)(1) Responsibility for Providing Care & Supervision on the attached LIC9099D.

An exit interview was conducted with the Licensee, Weera Perera. Notice of Site Visit was posted during the visit. Licensee, Weera Perera, was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Licensee, Weera Perera, was provided a copy of their appeal rights, and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager at the address listed above.
End of the Report.
SUPERVISORS NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20260601145052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: PERERA, WEERA
FACILITY NUMBER: 304300049
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/13/2026
Section Cited
CCR
101229(a)(1)
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101229(a)(1) Responsibility for Providing Care & Supervision: No child(ren) shall be left without the supervision of a teacher at any time.... Supervision shall include visual observation. This requirement is not met by:
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The licensee stated that they will keep a closer eye on the children and teach them to tell staff members if another child engages in any inappropriate behavior. The Licensee the will write the declaration that had talked to the children regarding inappropriate behavior.
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Based on observations, interviews, and a review of document records, there was a preponderance of evidence to determine that the staff was not keeping an eye on the children while in their care. This poses a potential risk to the health, safety, and personal rights of the children in care..
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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.
SUPERVISOR'S NAME: Nguyen K Tran
LICENSING EVALUATOR NAME: Vivian Trinh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3