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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020804
Report Date: 08/11/2023
Date Signed: 08/11/2023 10:28:48 AM

Document Has Been Signed on 08/11/2023 10:28 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:SUNNADENIYAGE FAMILY CHILD CAREFACILITY NUMBER:
198020804
ADMINISTRATOR:RUKSHANI SUNNADENIYAGEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 841-0857
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
08/11/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee Rukshani SunnadeniyageTIME COMPLETED:
10:35 AM
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Licensing Program Analyst (LPA) Mary Silva conducted a case management inspection to the above facility on 08/11/2023 to amend the LIC 809-D page, type A citation section 102416.5(b) from the annual inspection report dated 07/28/23. Facility was in compliance with the maximum number of infants and preschool children for a large family child care at the time of the visit on 07/28/23.

LPA arrived at the facility at 10:00 am and met with licensee Rukshani Sunnadeniyage, who guided analyst on a tour of the facility. LPA observed 3 infants and 4 preschool children. Assistant and spouse were present during this inspection.

A copy of the amended report was discussed, and a copy of the amended report was provided to Licensee during this inspection.


Exit interview conducted with Licensee, Rukshani Sunnadeniyage
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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