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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492889
Report Date: 02/26/2025
Date Signed: 02/26/2025 09:02:50 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
01/15/2025 and conducted by Evaluator Tatiana Bickham
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20250115122706
FACILITY NAME:KANNANGARA FAMILY CHILD CAREFACILITY NUMBER:
197492889
ADMINISTRATOR:KANNANGARA,ATHUDARACHCHIGEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 217-9877
CITY:WINNETKASTATE: CAZIP CODE:
91306
CAPACITY:14CENSUS: 2DATE:
02/26/2025
UNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Athudarachchige KannangaraTIME COMPLETED:
09:02 AM
ALLEGATION(S):
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Licensee did not prevent facility from being hazardous to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced site visit on 2/26/2025 at 8:05 AM to this facility to deliver findings on the above-mentioned allegations. Upon arrival, LPA met with Licensee, Athudarachchige Kannangara and explained the purpose of the visit. There were two (2) children observed at the time of visit.

During the course of the investigation,interviews were conducted with the Licensee and parents. Copies of children's roster were obtained and reviewed.

Per Reporting Party, Licensee did not prevent facility from being hazardous to children in care.

Majority of parents interviewed did not present concerns related to the above-mentioned allegations and were pleased with the services and care being provided to their children.
Page 1.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
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 58-CC-20250115122706
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: KANNANGARA FAMILY CHILD CARE
FACILITY NUMBER: 197492889
VISIT DATE: 02/26/2025
NARRATIVE
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During LPA site visit, LPA did not observe any items in the home that could be hazardous to children in care.

Based on the investigation conducted, there is insufficient evidence to support the above-mentioned allegations to be true. Therefore, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

The Notice of Site Visit was provided and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Licensee, Athudarachchige Kannangara and Appeals Rights provided.



Page 2.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2