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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371421
Report Date: 01/14/2025
Date Signed: 01/14/2025 04:27:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
01/08/2025 and conducted by Evaluator Giselle Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20250108155300
FACILITY NAME:MAGICAL STAR MONTESSORI-PRESCHOOLFACILITY NUMBER:
304371421
ADMINISTRATOR:VITHANAGE, IRA DAYANIFACILITY TYPE:
830
ADDRESS:1636 WEST CATHERINE DRIVETELEPHONE:
(714) 696-1241
CITY:ANAHEIMSTATE: CAZIP CODE:
92801
CAPACITY:20CENSUS: 7DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director Dayani VithanageTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are not feeding infants
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Giselle Lucero conducted a complaint investigation visit regarding the above complaint allegations. At 1 PM, LPA observed 7 infants with 2 staff members in the classroom.

A review of facility Personnel Report Summary on this date indicates that facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 10/28/2024 alleging Staff #1 (S1) would not feed the infants. RP stated S1 no longer works at the facility.

(continue to page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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 3
Control Number 06-CC-20250108155300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MAGICAL STAR MONTESSORI-PRESCHOOL
FACILITY NUMBER: 304371421
VISIT DATE: 01/14/2025
NARRATIVE
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(page 2)

LPA conducted staff interviews. 5 out of 5 staff interviewed denied ever observing or being made aware of S1 not feeding the infants. Staff also stated a feeding log is documented everyday and is given to parents at the end of the day. Staff #5 (S5) disclosed there was a time where S1 forgot to document after feeding an infant, but when S5 asked other infants’ staff, staff would say they saw S1 feed the infant. S5 stated S1 no longer works at the facility due to personal reasons.

LPA requested contact information for previous staff members that no longer work at the facility. LPA got in contact with 6 ex-employees. Adult #1 (A1) stated there was an incident where S1 did not feed Child #1 (C1). A1 stated a teacher had fed C1 around 9 A.M. and documented it, that teacher then left the classroom to cover breaks on the preschool side, leaving S1 alone with 4 infants. A1 stated when that teacher returned to the infant class around 2 PM, the teacher was notified by another staff that S1 did not feed C1 because S1 was unsure what time C1 was last fed. A1 stated C1 was fed at 9 A.M and then again at 2 P.M.

During interview with Adult #6 (A6), A6 recalled a time where S1 forgot to document when they last fed C1. When A6 asked S1 if they had fed C1, S1 stated yes but forgot to document it on the feeding log. A6 stated they observed C1 happy and when they tried to feed C1, C1 did not want to eat, indicating to A6 that C1 was fed.

Other ex-employees interviewed denied observing or being aware of S1 not feeding infants.

LPA contacted C1's parents (P1). P1 stated they recalled a time where they reviewed the feeding log and observed there was a gap in between feedings. When they inquired with staff what had occurred, staff had explained that they forgot to document it, but that C1 was fed. P1 stated they observed the right amount of milk was missing indicating to them that C1 was fed. P1 stated that was the only time that has happened. P1 stated they no longer have a copy of that feeding log.

(continue to page 3)

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20250108155300
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MAGICAL STAR MONTESSORI-PRESCHOOL
FACILITY NUMBER: 304371421
VISIT DATE: 01/14/2025
NARRATIVE
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(page 3)
LPA interviewed 3 parents. Parents interviewed expressed no concerns regarding the facility.

Based on LPA’s interviews, the preponderance evidence has not been met to corroborate the allegation staff did not feed infant. Although the allegation may have happened or is valid, the gathered evidence did not prove the alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated.

Exit interview conducted and report was reviewed with Director. A notice of site visit was given and must remain posted for 30 days.

End of report.

SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3