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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376105121
Report Date: 01/09/2024
Date Signed: 01/09/2024 10:52:23 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/14/2023 and conducted by Evaluator Annette Sutherland
COMPLAINT CONTROL NUMBER: 51-CC-20231214104040
FACILITY NAME:LA MATERNELLEFACILITY NUMBER:
376105121
ADMINISTRATOR:SAMADHI HERATHFACILITY TYPE:
850
ADDRESS:4848 SEMINOLE DRTELEPHONE:
(858) 888-1351
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:36CENSUS: DATE:
01/09/2024
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Samadhi Herath TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
1. Staff do not provide adequate supervision to day care children.
2. Staff do not ensure daily activities meet the needs of day care children.
3. Staff do not provide adequate food service to day care children.
4. Staff use inappropriate forms of discipline with day care children.
5. Facility play structure is not age-appropriate for day care children.
6. Children are forced to participate in activities
INVESTIGATION FINDINGS:
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13
On 1/9/24 at 10:10 AM, Licensing Program Analyst (LPA) Annette Sutherland conducted an unannounced complaint inspection to deliver findings regarding the above allegations. LPA Sutherland met with Director Samadhi Herath. Census was 10 children. The Department fully investigated the above allegations and obtained information from interviews with multiple parties.
Based upon this information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred at this facility and are therefore UNSUBSTANTIATED.
An exit interview was conducted with the Director. A Notice of Site Visit (LIC9213) and Appeal Rights (LIC9058) were provided along with the report (LIC9099) to the Director. LPA Annette Sutherland observed Notice of Site Visit being posted. Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Annette Sutherland
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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