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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313549
Report Date: 01/19/2024
Date Signed: 01/19/2024 11:16:50 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/30/2023 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20231030085617
FACILITY NAME:FERNANDO, RASIKAFACILITY NUMBER:
304313549
ADMINISTRATOR:FERNANDO, RASIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 853-8420
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY:14CENSUS: 7DATE:
01/19/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Fernando, DevapurageTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff do not allow responsible parties to enter and inspect the child care home
INVESTIGATION FINDINGS:
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On 1/19/2024 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Rasika Fernando Family Childcare Home for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Licensee's son, Devapurage Fernando, who was explained the reason for today’s visit. LPA was provided a tour of the facility and observed 2 Staff and 7 children present.
A review of facility Personnel Report Summary on today's date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 10/30/23 Orange County Child Care Office received the following complaint allegation, Staff do not allow responsible parties to enter and inspect the child care home.Reporting party (RP) stated, the licensee and staff do not allow parents and/or responsible parties to enter the daycare home for inspection. RP stated that the licensee has denied children’s parents and family members access to the daycare. Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
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 5
Control Number 06-CC-20231030085617
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FERNANDO, RASIKA
FACILITY NUMBER: 304313549
VISIT DATE: 01/19/2024
NARRATIVE
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During the course of investigation,LPA reviewed 3 staff files, obtained a Children’s Roster, LPA interviewed 3 staff members, 2 parents and 2 children.

Staff 1 (S1) stated S1 does provide tours of the daycare home for prospective parents but disclosed that after Covid-19 Pandemic, S1 has not allowed parents/authorized representatives into the daycare facility. Staff 2 (S2) disclosed that staff does not allow parents/authorized representatives to enter into the home. S2 said S2 did not know why and that perhaps it was due to Covid and for safety. S2 said a parent/authorized representative has asked to come into the home. When Staff 3 (S3) was asked whether staff allow parents/authorized representatives to enter into the home, S3 stated, no, they don’t, to keep the other kids safe and because parents don’t ask.

LPA Valdez Santana contacted 5 parents for an interview and was able to interview 2 parents. 2 of 2 parents interviewed did not disclose any concerns about the facility staff who provide care for the children. Child #1 (C1) stated, when getting dropped off at daycare, C1 and C1’s mother knock at the door and the teacher comes out. C1 stated mom does not go inside daycare but teacher comes out and takes C1 inside.

Based on LPA’s observations, interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 102419(a)(1) Admission Procedures and Parental and Authorized Representative's Rights, Type B is being cited on the attached LIC 9099D. Please refer to attached 9099D for documentation of deficiencies.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.



Page 2 of 2. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/30/2023 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20231030085617

FACILITY NAME:FERNANDO, RASIKAFACILITY NUMBER:
304313549
ADMINISTRATOR:FERNANDO, RASIKAFACILITY TYPE:
810
ADDRESS:2619 N FERNSIDE STTELEPHONE:
(714) 853-8420
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY:14CENSUS: 7DATE:
01/19/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Fernando, DevapurageTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff confine daycare children into high chairs.
INVESTIGATION FINDINGS:
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On 1/19/2024 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Rasika Fernando Family Childcare Home for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Licensee's son, Devapurage Fernando, who was explained the reason for today’s visit. LPA was provided a tour of the facility and observed 2 Staff and 7 children present.
A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 10/30/23 Orange County Child Care Office received the following complaint allegation, Staff confine daycare children into highchairs.Reporting Party (RP) stated, when visiting the facility sometime in June 2023, RP observed 5 three year old children sitting in high chairs at the daycare home. The licensee told RP that the children like to sit in high chairs to watch television or eat snacks. However, when RP observed the children sitting in high chairs, the children were not eating.
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Page 1 of 3
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20231030085617
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FERNANDO, RASIKA
FACILITY NUMBER: 304313549
VISIT DATE: 01/19/2024
NARRATIVE
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During the course of investigation, LPA interviewed 3 staff members, 2 parents and 2 children.
During the staff interviews, when asked how do staff utilize the highchairs in the facility, Staff 1 (S1) stated the highchairs are used for eating and a few minutes before. Children use them 3 times a day. In the morning, we put the TV while they are eating breakfast. When asked if children sit in the highchairs when not eating and watching tv, S1 stated, no. Staff #2 (S2) stated, babies are only put in highchairs at lunch time and snack times (AM/PM), for about 15 minutes, and when they are done, we take them out. S2 denied putting infants in the highchairs for any other reason besides eating while watching tv. Staff #3 (S3) disclosed, children are placed in highchairs when they eat food, for about 15 minutes. It is only for eating but sometimes when watching tv for about 15-20 minutes.

2 of 5 parents were interviewed, parents had no issues or concerns with the daycare. 1 out of 2 children interviewed were qualified. Children did not make any disclosures.



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 allegation is UNSUBSTANTIATED. Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

Page 2 of 2. End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20231030085617
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FERNANDO, RASIKA
FACILITY NUMBER: 304313549
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2024
Section Cited
CCR
102419(a)(1)
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102419(a)(1) Admission Procedures and Parental and Authorized Representative's Rights: (a)The licensee shall inform parents or authorized representatives of children in care of their rights...(1)To enter and inspect the family child care home in accordance...
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Facility Representative stated they will speak with the staff today about allowing authorized representatives into the daycare home. In addition, they will answer the door in a more timely manner.
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This requirement is not met as evidenced by: Based on LPA’s interviews, staff #1, Staff #2, and Staff #3 disclosed that staff deny parents/authorized representatives inside access to the daycare facility. Child #1 also stated C1’s parent comes to the door and the teacher comes out and brings C1 inside.
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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: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5