304371421-5-16-2023-06-CC-JHAN-CS7NTQ-20230526104504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371421
Report Date: 05/16/2023
Date Signed: 05/16/2023 03:21:24 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
03/07/2023 and conducted by Evaluator Giselle Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20230307095235

FACILITY NAME:	MAGICAL STAR MONTESSORI-PRESCHOOL		FACILITY NUMBER:	304371421
ADMINISTRATOR:	VITHANAGE, IRA DAYANI		FACILITY TYPE:	830
ADDRESS:	1636 WEST CATHERINE DRIVE		TELEPHONE:	(714) 696-1241
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92801
CAPACITY:	20	CENSUS: 10	DATE:	05/16/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Teacher Vivian Maeda		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Level of Care
Lack of Supervision

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced complaint visit to deliver the complaint findings. LPA met with director Teacher Vivian Maeda. Census was taken at 2:00 PM. The overall census observed was 3 staff and 10 infants. A review of staff criminal clearance records on this 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 03/07/2023, the Regional Office received a complaint report alleging (1) staff leave day care children unsupervised while in care and (2) staff do not provide adequate care to day care children in care.

During the initial inspection dated on 03/10/2023 LPA and Licensing Program Manager (LPM) Rina Lopez, observed 8 infants with 3 staff. LPA visited infant room for 5–10 minutes. LPA and LPM observed 2 staff feeding 4 infants in the kitchen area and 1 staff in the crib area supervising 4 napping infants.
(continue to next page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20230307095235

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MAGICAL STAR MONTESSORI-PRESCHOOL	FACILITY NUMBER: 304371421
	VISIT DATE: 05/16/2023

NARRATIVE

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(page 2)
On 04/06/2023 LPA and LPM observed 3 infants with 2 staff. LPA and LPM observed 2 staff in the activity area playing with 3 infants. On 05/03/2023 there were 6 infants with 3 staff. LPA observed 2 staff feeding 3 infants and 1 staff supervising 3 napping infants in the crib area. LPA and LPM observed facility staff maintain adequate supervision and staffing/ratio.

During the course of investigation, LPA and Licensing Program Manager (LPM) interviewed 3 staff. LPA interviewed 6 parents. LPA unable to interview infants due to age and non-verbal.

During the interviews all staff exhibited knowledge of supervision and ration regulations. 3 out of 3 interviewed staff denied there has been any lack of supervision or ratio problems and express they didn’t have any concerns of other staff. During all facility inspections LPA observed the facility to be in ratio and supervision was appropriate.

LPA Lucero attempted to contact 11 parents by phone and was able to interview 6 parents. All interviewed parents stated they did not have any concerns with the supervision or care of facility.

Based on the information gathered from LPA's interviews with staff and parents, observations of ratio and supervision, and reviewing records, there is insufficient evidence to corroborate the allegations of (1) facility staff leave day care children unsupervised while in care and (2) staff do not provide adequate care to day care children in care. 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 in the day care facility, therefore the allegations are UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed with Teacher Vivian Maeda. The Facility Representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

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 $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

End of Report.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

LIC9099 (FAS) - (06/04)

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