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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624906
Report Date: 02/23/2024
Date Signed: 02/23/2024 11:26:44 AM

Substantiated


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
01/18/2024 and conducted by Evaluator Christopher Bello
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240118103543
FACILITY NAME:LAND PARK MONTESSORI PRESCHOOLFACILITY NUMBER:
343624906
ADMINISTRATOR:JAYASENA, CHARUNIKAFACILITY TYPE:
850
ADDRESS:5700 S. LAND PARK DRIVETELEPHONE:
(916) 429-1234
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY:75CENSUS: 49DATE:
02/23/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Charunika JayasenaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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9
Staff operated out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 10:00am and met with director Charunika Jayasena close a complaint investigation, regarding the above allegation. Upon arrival, LPA observed 49 children. It was alleged that the facility was operating out of Teacher-Child Ratio. LPA made observations, gathered documents pertaining to the investigation and conducted interviews. LPA observed on 1/24/2024 the facility operating out of Teacher-Child Ratio. This is considered to be an immediate risk to the children in care. Director stated that on the day LPA Bello observed the facility out of ratio, one of her teachers was just clocking in and would of placed them in ratio. Based on LPAs observation, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED.

Title 22 deficiencies are cited on the subsequent page of this report. Type Acknowledgement forms are to be signed by current parent of the facility and new parents for the next twelve months. LIC 9224 and Appeal Rights were provided. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Charunika Jayasena.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
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 03-CC-20240118103543
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: LAND PARK MONTESSORI PRESCHOOL
FACILITY NUMBER: 343624906
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2024
Section Cited
CCR
101216.3(a)
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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement has not been met by evidence: LPA observed the facility out of Teacher-Child Ratio. This is considered as a immediate risk to the children in care.
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Director will ensure that the facility is in Teacher-Child Ratio by POC date 2/24/2024.
LPA will return to clear the deficiency.
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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.
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
01/18/2024 and conducted by Evaluator Christopher Bello
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240118103543

FACILITY NAME:LAND PARK MONTESSORI PRESCHOOLFACILITY NUMBER:
343624906
ADMINISTRATOR:JAYASENA, CHARUNIKAFACILITY TYPE:
850
ADDRESS:5700 S. LAND PARK DRIVETELEPHONE:
(916) 429-1234
CITY:SACRAMENTOSTATE: CAZIP CODE:
95822
CAPACITY:75CENSUS: 49DATE:
02/23/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Charunika JayasenaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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2
3
4
5
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7
8
9
Staff did not meet day care child’s diapering needs, resulting in a diaper rash.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Christopher Bello arrived at the facility at approximately 10:00am and met with director Charunika Jayasena close a complaint investigation, regarding the above allegation. Upon arrival, LPA observed 49 children. It was alleged that the staff did not meet day care child’s diapering needs, resulting in a diaper rash. LPA made observations, gathered documents pertaining to the investigation and conducted interviews. Staff and parent interviews did not corroborate the allegation.
Director stated that the allegations are not true and parents know how their facility operates.
Based on LPAs investigation, the preponderance of evidence standard has not been met, therefore, the above allegation is found to be UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Christopher Bello
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3