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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376300358
Report Date: 02/06/2024
Date Signed: 02/06/2024 01:01:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2024 and conducted by Evaluator Keely Messerschmidt
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240130133317
FACILITY NAME:COLES COTTAGE ACADEMYFACILITY NUMBER:
376300358
ADMINISTRATOR:COSTA,WEERATUNGAFACILITY TYPE:
850
ADDRESS:505 CIVIC CENTER DRTELEPHONE:
(949) 836-4465
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:35CENSUS: DATE:
02/06/2024
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Weeratunga CostaTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Licensee does not ensure facility child to staff ratio
Staff does not ensure medications are centrally stored
Licensee does not ensure outdoor activity area is properly enclosed for children in care
INVESTIGATION FINDINGS:
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On the above date and time Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering the complaint findings on the above-referenced allegation. LPA met with Director Weeratunga Costa. LPA toured the facility, conducted census, and verified facility staff and children enrollment. LPA discussed with Director the conclusion of the complaint investigation. The investigation included interviews with the Director and 3 staff members.

On January 30th, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not ensure facility child to staff ratio, staff does not ensure medications are centrally stored and licensee does not ensure outdoor activity area is properly enclosed for children in care. Based on staff interviews, LPA Messerschmidt is unable to corroborate above mentioned allegations.

See LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
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 2
Control Number 10-CC-20240130133317
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: COLES COTTAGE ACADEMY
FACILITY NUMBER: 376300358
VISIT DATE: 02/06/2024
NARRATIVE
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When it comes to the allegation that licensee does not ensure facility child to staff ratio, based on interviews it was disclosed that all the classrooms always remain in ratio and will call the front desk when they need support or the cook. They also have a breaker/floater who steps in to cover breaks and lunches maintaining ratio. Based on interviews for the allegation that staff does not ensure medications are centrally stored, it was disclosed that someone is always in the front office to bring the medication when needed or they have been in ratio to grab the medication themselves.

Lastly, based on interviews for allegation licensee does not ensure outdoor activity area is properly enclosed for children in care, in was disclosed that the gates always remain closed, that all latches work and the playground is completely enclosed. LPA Messerschmidt observed the playground fence to be properly secured, however, on the 2's playground there is one panel missing which is being blocked at this time and not an immediate danger to the children in care.

Based on the information obtained during this investigation, it has been determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Director, Weeratunga Costa , and a copy was provided. Appeal rights were discussed with Ms. Costa and provided during the exit interview. A Notice of Site visit was given, and Director understands that it must remain posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
LIC9099 (FAS) - (06/04)
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