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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376300898
Report Date: 10/29/2024
Date Signed: 10/29/2024 03:58:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/16/2024 and conducted by Evaluator Keely Messerschmidt
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240916115605
FACILITY NAME:DHARMADASA FAMILY CHILD CAREFACILITY NUMBER:
376300898
ADMINISTRATOR:DHARMADASA, DULEEKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 362-4301
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY:14CENSUS: DATE:
10/29/2024
UNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:TIME COMPLETED:
04:10 PM
ALLEGATION(S):
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Child was injured while in care.
INVESTIGATION FINDINGS:
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On the above date and time listed, Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility for the purpose of delivering the complaint findings on the above-referenced allegation. LPA met with Licensee Duleeka Dharmadasa, there were 2 children present during visit.

On September 16th, 2024, Community Care Licensing (CCL) received a complaint alleging that child was injured while in care.

Based on interviews conducted, 2 out 2 staff members and 2 confidential witnesses it was disclosed that there were no incidents witnessed of Child #1 (C1) receiving any injury by Licensee or any other persons while in care. Licensee stated she viewed ring camera footage and there was no evidence of C1 being injured. LPA viewed photographic evidence received and seen the visible markings on back of C1s neck. LPA could not identify markings on neck to have happened at the daycare.

See LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
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 10-CC-20240916115605
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: DHARMADASA FAMILY CHILD CARE
FACILITY NUMBER: 376300898
VISIT DATE: 10/29/2024
NARRATIVE
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Based on the information obtained during this investigation, it has been determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and this report was reviewed with the Licensee, Duleeka Dharmadasa , and a copy was provided. Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and Licensee understands that it must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2