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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313549
Report Date: 12/17/2024
Date Signed: 12/17/2024 02:23:32 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, 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
10/26/2024 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20241026072313
FACILITY NAME:FERNANDO, RASIKA & FERNANDO, THARINDUFACILITY NUMBER:
304313549
ADMINISTRATOR:FERNANDO, RASIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 853-8420
CITY:ORANGESTATE: CAZIP CODE:
92865
CAPACITY:14CENSUS: 3DATE:
12/17/2024
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Licensee, Tharindu FernandoTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Licensee does not ensure that the home is clean, sanitary or free from clutter.
INVESTIGATION FINDINGS:
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On 12/17/24 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to Rasika and Tharindu Fernando Family Childcare Home for the purpose to deliver findings of a complaint received. Upon arrival, LPA was met by Co-Licensee, Tharindu Fernando who was explained the reason for today’s visit. Other Co-licensee, Rasika Fernando was not present in the home due to being out of the country. Tharindu stated Ms. Rasika left on 12/4/24 and would return 1/22/25. LPA was provided a tour of the facility and observed 2 Assistants and 3 preschool-age children present at the time of the inspection.
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 10/26/24 Orange County Child Care Office received the following complaint allegation, Licensee does not ensure that the home is clean, sanitary, or free from clutter. Reporting party (RP) stated the facility is a dirty environment and there is excessive clutter at the home. Page 1 of 3.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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 7
Control Number 06-CC-20241026072313
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 & FERNANDO, THARINDU
FACILITY NUMBER: 304313549
VISIT DATE: 12/17/2024
NARRATIVE
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During the course of investigation, LPA reviewed 4 staff files and 5 children’s files, obtained a Children’s Roster, LPA also interviewed 4 staff members, 2 children and 3 parents.

During the staff interviews, staff #1 (S1) stated the facility is a clean and safe environment for children. S1 said the other day a parent went through an off-limit area and there are items in the hallway but now there is child safety gate to prevent entrance into the off-limit area. S1 does not have any concerns that the home is too cluttered because it’s in the off-limit areas and in the childcare it’s not cluttered, it’s Montessori based so there is a section for the concepts, it requires a lot of stuff. Staff #2 (S2) stated the facility is clean and safe environment for children, except the construction area in the backyard. No one is allowed back there right now. S2 denied having concerns for the most part, and that the facility is not too cluttered for the children in care. S2 stated the assistants clean the daycare areas daily and the two licensees clean the off-limit areas not as often, not daily. S2 thinks the home is clean and free of clutter.

Staff 3 (S3) stated the home is a clean and safe environment for children but also stated the home is a little bit cluttered. S3 stated, S1, S4 and S3 clean the facility and they clean it every day. S3 denied that the home is too cluttered. When asked if S3 thinks the facility is clean, tidy, and free of clutter S3 stated, “yes, the daycare areas.” S3 disclosed concern for an off-limit area, S3 pointed to living/dining room area and items, “I’m scared of this area but we always grab their (children’s hands) when walking through this area”. Staff #4 (S4) stated the home is a clean and safe environment for children and denied that it’s too cluttered. The facility is cleaned every day by S1, S3 and S4. When asked if there were any areas of concern in regard to too much clutter or cleanliness, S4 stated the living room and dining room. The daycare areas are clean, tidy and free of clutter.

LPA Valdez Santana contacted 6 parents for an interview and was able to interview 3 parents. 1 of 3 parents, stated concerns over the amount of clutter in the home. It’s a business also so it should not have so much clutter everywhere. Child #1 (C1) stated the facility is clean. When asked if there are too many things/items in the home, C1 said, “yes, her house is messy”. Child #2 (C2) stated the licensee “has too much stuff”.

While conducting the investigation, LPA conducted a thorough inspection of the daycare areas including off-limit areas. LPA took various pictures of the facility showing clutter in areas that although are off-limit areas, children still have access to and have to walk through in order to access daycare areas. Pictures depict tools, construction equipment, bags of clothes, boxes, piles of papers and other miscellaneous items. Page 2 of 3.

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

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 06-CC-20241026072313
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 & FERNANDO, THARINDU
FACILITY NUMBER: 304313549
VISIT DATE: 12/17/2024
NARRATIVE
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Based on LPA’s observations, interviews conducted, it was determined that Licensee does not ensure that the home is clean, sanitary, or free from clutter. The preponderance of evidence standard has been met; therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1 Section 102417(b) Operation of a Family Child Care Home: Type B is being cited on the attached LIC 9099D. This is a repeat violation. Civil Penalty was assessed. 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 3 of 3. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 06-CC-20241026072313
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 & FERNANDO, THARINDU
FACILITY NUMBER: 304313549
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2025
Section Cited
CCR
102417(b)
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102417(b) Operation of a Family Child Care Home: The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.
This requirement is not met as evidenced by:
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Licensee will email LPA Valdez Santana pictures of the home once it has been decluttered. Via email at dianna.valdezsantana@dss.ca.gov by POC due date. This is a repeat violation, Civil Penalty was assessed.
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Based on LPA’s interviews, S3 and S4 disclosed that there is too much clutter in the home. C1 and S2 disclosed the home is messy and there is too much stuff. One out 3 parents stated concerns over the amount of clutter in the home.
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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: 12/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 7