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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370175
Report Date: 05/24/2021
Date Signed: 06/09/2021 03:37:34 PM

Unsubstantiated


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
03/23/2021 and conducted by Evaluator Eileen Corral
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210323145736
FACILITY NAME:LA HABRA HERITAGE SCHOOLFACILITY NUMBER:
304370175
ADMINISTRATOR:WIJEGUNARATNE, DEEPIKAFACILITY TYPE:
830
ADDRESS:323 NORTH EUCLID STREETTELEPHONE:
(562) 691-1967
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:12CENSUS: 4DATE:
05/24/2021
UNANNOUNCEDTIME BEGAN:
04:05 PM
MET WITH:Director - Deepika WijegunaratneTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Child left alone without supervision
Infants room is not properly equipped
INVESTIGATION FINDINGS:
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***This is an amended version of the original report created on 05/24/2021.***
Tele-Investigation COVID-19 State of Emergency
Licensing Program Analyst (LPA) Corral conducted a complaint investigation with Director Deepika Wijegunaratne in response to a complaint received on 03/23/2021 regarding Child Supervision and Infant Room Safe Equipment. This is a continuation of the investigation initiated on 04/02/2021. LPA Corral informed Director that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing a tele-investigation would be conducted. The COVID-19 Emergency Response questionnaire was reviewed and answered by Director.
During the Tele-Inspection LPA Corral conducted a walk-through of the Facility. Director stated there were 4 infants in care and 1 teacher providing care. A review of the Facility Personnel Report Summary conducted on 05/24/2021 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Continue to Page 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
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 06-CC-20210323145736
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: LA HABRA HERITAGE SCHOOL
FACILITY NUMBER: 304370175
VISIT DATE: 05/24/2021
NARRATIVE
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Page 2.
The complaint received on 03/23/2021 alleged that there was a child left alone without supervision, the complaint also stated the infant room was not properly equipped. The complaint stated a Teacher directed a child to go to the bathroom alone and the child was found standing on an object in the bathroom window that was not secure. During the initial 10 Day Tele-Inspection LPA Corral conducted a walk-through of the Infant Room and the Infant Restroom. LPA Corral also conducted interviews with 3 Staff member and questioned the above allegations. During one of the Staff interviews the Staff described the windows in the bathroom to be high and stated the children cannot reach the windows. The Staff also stated the windows in the bathroom do not have screens but are above 5 feet high. Another interview with a different Staff member confirmed that the windows in the restroom can open but they are not opened because they do not have a screen on them. Both staff members stated they consider the infant room equipment to be adequate.

When LPA Corral questioned Staff member regarding infant supervision, Staff stated she has not observed infants to be left alone or unsupervised. LPA Corral attempted to interview the alleged teacher who directed the child to go to the bathroom alone on three different occasions but was unable to get ahold of the teacher. During the course of the interviews LPA Corral was unable to confirm who witness the child standing on the object in the bathroom due to inconsistent statements by Staff. During the tele-inspection on 04/02/2021 LPA Corral did not observe the windows in the bathroom to be opened. LPA Corral asked Director to attempt to open the bathroom windows, but Director stated they were locked and hard to be opened by the children. Director stated bathroom windows remain closed.

Based on the interviews that LPA Corral conducted, the Tele-Inspection completed, there is insufficient evidence to corroborate that a Child was left alone without supervision and that the Infant room is not properly equipped. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore both of the allegations are Unsubstantiated.

Exit interview was conducted and report was read to Director Deepika Wijegunaratne via Tele-Inspection. A copy of the Investigation Report along with Appeal Rights will be email to Director with a Read Receipt requested to acknowledge report was received. Director was asked to respond to email by copying and pasting “I have read and received the Report and Appeal Rights, I acknowledge receipt." Appeal Rights were explained. Licensee was informed first level of appeal is directed to Regional Manager to the address listed above. Notice of Site Visit was not posted due to Tele-Investigation COVID-19 State of Emergency.
End of Report.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021
LIC9099 (FAS) - (06/04)
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