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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020972
Report Date: 05/20/2025
Date Signed: 05/20/2025 09:17:57 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2025 and conducted by Evaluator Staicy Perry
COMPLAINT CONTROL NUMBER: 33-CC-20250304154835

FACILITY NAME:BLOSSOM GARDEN LEARNING ACADEMYFACILITY NUMBER:
198020972
ADMINISTRATOR:MEGHA SAHNIFACILITY TYPE:
830
ADDRESS:101 S. ATLANTIC BLVDTELEPHONE:
(626) 627-2318
CITY:ALHMABRASTATE: CAZIP CODE:
91801
CAPACITY:10CENSUS: 7DATE:
05/20/2025
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Assistant Director Stephanie RodriguezTIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Medication- Staff do not ensure that medication is labeled.
INVESTIGATION FINDINGS:
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On May 20, 2025, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced complaint investigation regarding the above allegation to deliver findings. Upon arrival, LPA met with the facility assistant director, Stephanie Rodriguez who provided access to the facility and guided LPA Perry on a tour. During the visit, the facility census was taken, and LPA Perry observed a total of 7 children in care.

During the investigation, LPA conducted interviews with Staff #1 through Staff #4 and Parent #1 through Parent #5. In addition, LPA obtained and reviewed relevant documentation, including but not limited to the children’s roster, parent handbook, personnel reports, photos taken and other pertinent records.

ALLEGATION#1: Staff do not ensure that medication is labeled.

The reporting party alleged that, “Directors of the school, Megha S. and Stephanie R., have failed to take proper steps to ensure student medications are labeled, and have been signed off by parents.”
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20250304154835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BLOSSOM GARDEN LEARNING ACADEMY
FACILITY NUMBER: 198020972
VISIT DATE: 05/20/2025
NARRATIVE
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All staff interviewed reported that children’s medications are stored in a locked closet within the classroom. Each child’s medication is kept in their individual bags, labeled with their name and accompanied by all required documentation. Staff confirmed that the medications were labeled appropriately.

LPA interviewed parents of children enrolled in the infant program. No disclosures were made to support the allegation above.

During the course of the investigation, LPA conducted a full inspection of medication storage in the infant program and observed two children with medication enrolled at the facility. Upon review, one child’s medication was found not to be in its original packaging as required by Title 22 regulations. The label had been altered and did not match the original prescription instructions. The facility has been cited for this deficiency during its annual inspection on May 2, 2025.

Based on interviews, observations and disclosures made during the department investigation, the preponderance of evidence and the standard has been met, therefore, the allegation is found to be substantiated. These incidents pose a potential risk to the Health and Safety of the children in care. However, no deficiency will be cited at this time, as the issue was previously cited during the facility’s annual visit on May 2, 2025.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal rights were given and explained. Exit interview conducted, report provided to facility Assistant Director, Stephanie Rodriguez.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5