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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624323
Report Date: 08/20/2024
Date Signed: 08/20/2024 10:53:18 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/05/2024 and conducted by Evaluator Mandie Goodwin
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20240705105106
FACILITY NAME:ADVENTURE MONTESSORI S.T.E.A.M ACADEMY LLCFACILITY NUMBER:
343624323
ADMINISTRATOR:ROBERTA MANLEYFACILITY TYPE:
830
ADDRESS:3541 N FREEWAY BLVD SUITE 100TELEPHONE:
(916) 370-6113
CITY:SACRAMENTOSTATE: CAZIP CODE:
95834
CAPACITY:8CENSUS: 4DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Sithumini MillawabandaraTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Children were left unattended while napping
Staff handle daycare children roughly
Staff did not ensure the day care was free from pests
INVESTIGATION FINDINGS:
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On August 20th 2024 Licensing Program Analyst (LPA) Mandie Goodwin met with owner Sithumini Millawabandara to conduct further investigation and close a complaint investigation regarding the above allegations. Upon arrival there were 4 infants supervised by 2 staff members.

Throughout the course of the investigation LPA conducted interviews with staff and clients, obtained documentation, and made observations. Interviews did not reveal information that infants have been left unattended or unsupervised during their nap time. Additionally LPA did not observe instances of children being left unattended. LPA did not observe infant children being handled roughly. Interviews with staff and clients in care did not indicate a concern with how staff handle the infants. For the allegation of pests, LPA observed documentation of the presence of ants at facility on June 28th, 2024. LPA observed ants during visit to facility on July 11th, 2024. Interviews revealed that the ants were present in June and were treated with non-toxic pest killer and dish soap. A popsicle was left in the trashcan which caused the ants to come back. Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 2
Control Number 03-CC-20240705105106
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ADVENTURE MONTESSORI S.T.E.A.M ACADEMY LLC
FACILITY NUMBER: 343624323
VISIT DATE: 08/20/2024
NARRATIVE
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The facility treated for ants again and stated they have not had an ongoing pest issue. Although the alleged violations may have happened or are valid, the preponderance of evidence standard has not been met to fully prove or disprove that they did or did not occur, therefore, they are unsubstantiated. An exit interview was conducted with owner Sithumini Millawabandara and a notice of site visit provided. Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Mandie Goodwin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2