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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418410
Report Date: 06/17/2022
Date Signed: 06/17/2022 12:26:40 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/22/2022 and conducted by Evaluator Deborah Lowe
COMPLAINT CONTROL NUMBER: 30-CC-20220322112508
FACILITY NAME:HILL POINT MONTESSORI PREPATORY SCHOOLFACILITY NUMBER:
197418410
ADMINISTRATOR:TAMPUS, MARIAFACILITY TYPE:
850
ADDRESS:6601 VALLEY CIRCLE BOULEVARDTELEPHONE:
(818) 884-8261
CITY:WEST HILLSSTATE: CAZIP CODE:
91307
CAPACITY:57CENSUS: 30DATE:
06/17/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Dayani Nawagamuwage, LicenseeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Personal Rights – Staff yell at children in care.
INVESTIGATION FINDINGS:
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On 6/17/2022 at 10:00 am Licensing Program Analyst (LPA) Deborah Lowe conducted an announced visit, LPA Lowe met with Dayani Nawagamuwage, Licensee. The purpose of the visit is to deliver the findings of the complaint received on 3/22/2022 with the following allegation/s.

LPA toured the facility and observed 30 children in care supervised by 5 staff.

Based on interviews dated 4/5/22 with S1 and S2, the Department has concluded that the preponderance of evidence standard has been met, therefore the allegation of staff yell at children in care is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter 1), are being cited on the attached LIC 9099D.

Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
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 30-CC-20220322112508
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HILL POINT MONTESSORI PREPATORY SCHOOL
FACILITY NUMBER: 197418410
VISIT DATE: 06/17/2022
NARRATIVE
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LPA Lowe informed licensee Dayani Nawagamuwage that this report dated 6/17/2022 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Lowe informed the licensee Dayani Nawagamuwage to provide a copy of this licensing report dated 6/17/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

LIC 9213 Notice of site visit and appeal rights were provided and reviewed.
An exit interview was conducted with Dayani Nawagamuwage, Licensee. A copy of this report was provided.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20220322112508
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HILL POINT MONTESSORI PREPATORY SCHOOL
FACILITY NUMBER: 197418410
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/17/2022
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement is not met as evidence by:
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Licensee stated, in March 2022 after receiving an email from a parent the licensee met with the teacher in question and then removed teacher from the preschool classroom. Licensee had a meeting with all preschool staff on 3/30/2022 and reviewed employee handbook, personal rights, and expectations.
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Based on LPAs interviews dated 4/5/22 with S1 and S2 conducted it was found a staff member did yell at children in care which poses an immediate health, safety or personal rights risk to persons in care.
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Licensee will email LPA Lowe with the meeting agenda and staff signatures of attendance by end of business on 6/17/2022.
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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: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3