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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343613062
Report Date: 07/18/2025
Date Signed: 07/18/2025 01:46:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/14/2025 and conducted by Evaluator Lea Habtom
COMPLAINT CONTROL NUMBER: 03-CC-20250714123935
FACILITY NAME:LITTLE BLOSSOM MONTESSORI SCHOOL, INC.FACILITY NUMBER:
343613062
ADMINISTRATOR:RANATUNGA, SUBASHINI (SUE)FACILITY TYPE:
830
ADDRESS:2075 ARENA BLVD.TELEPHONE:
(916) 515-0550
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:40CENSUS: 15DATE:
07/18/2025
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Melba SalasTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff kicked a child
INVESTIGATION FINDINGS:
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On July 18, 2025, Licensing Program Analysts (LPA) Lea Habtom met with designated staff member, Melba Salas, to open and close a complaint. Upon arrival, LPA observed 12 toddlers and 3 infants being supervised by 5 staff in the infant room, toddler 1 and toddler 2 clasrooms. All staff present during today’s inspection have fingerprint clearances and associations

During the investigation, LPA Lea Habtom conducted interviews, observation and reviewed video footage regarding the allegation that a staff member kicked a child. The video footage submitted is difficult to see what possibly occurred due to the shelf blocking the full image of the staff in question from head to toe. The video footage provides an image from the knee down and obstructs the view of any movement or actions from the staff member and the child. LPA interviewed staff, the reporting party and the child but LPA Habtom was unable to gather enough information to validate or invalidate the allegation that a staff member kicked a child therefore the outcome is UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur.



3 infants and 12 toddlers in the infant, toddler 1 and toddler 2 rooms being supervised by 5 staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
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 2
Control Number 03-CC-20250714123935
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: LITTLE BLOSSOM MONTESSORI SCHOOL, INC.
FACILITY NUMBER: 343613062
VISIT DATE: 07/18/2025
NARRATIVE
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No Title 22 regulations were cited during today's inspection. This report was reviewed with designated representative, Melba Salas. A notice of site visit was provided to be posted for 30 days. Appeal rights provided.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Lea Habtom
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2