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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701115
Report Date: 03/23/2022
Date Signed: 03/23/2022 11:33:22 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/11/2022 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220211165507
FACILITY NAME:PINK TOWER MONTESSORIFACILITY NUMBER:
376701115
ADMINISTRATOR:CHANDANI JAYASINGHEFACILITY TYPE:
850
ADDRESS:203 LAURINE LANETELEPHONE:
(760) 728-4754
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY:36CENSUS: 25DATE:
03/23/2022
UNANNOUNCEDTIME BEGAN:
10:23 AM
MET WITH:Chandani JayasingheTIME COMPLETED:
11:48 AM
ALLEGATION(S):
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Staff inappropriately discipline child while in care
INVESTIGATION FINDINGS:
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On March 23 2022 at 10:23 AM, Licensing Program Analyst (LPA) Anastasia Flores met with Pink Tower Montessori, Director, Chandani Jayasinghe to deliver the findings of the above allegation. On 02/18/22, LPA’s L. Almarez and N. King conducted a health and safety inspection of the facility and no immediate concerns were noted. Copies of childcare roster and staff roster were obtained. Interviews were conducted with five children (C1, C2, C3, C4, C5) and three staff.
On February 11, 2022 this agency received allegation that the childcare staff inappropriately disciplined a child while in care. Confidential interviews disclosed that S2 lifted C1 in the air by one arm and spanked C1’s bottom while in the air. Other confidential interviews revealed that C1 was placed in time out by the entrance to the facility. Interview with S2 disclosed that C1 had fallen on the ground and S1 helped C1 up while cleaning off C1’s pants from wood chips. Other confidential interviews disclosed the children are placed in time out when disciplined. Records review reveal that corporal punishment and other humiliating, or frightening techniques are prohibited. Other records review disclosed that time out should not be used as a form of discipline. (contiued on next page)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
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 10-CC-20220211165507
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: PINK TOWER MONTESSORI
FACILITY NUMBER: 376701115
VISIT DATE: 03/23/2022
NARRATIVE
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Based on confidential interviews and records review the preponderance of evidence has been met and the allegation that staff inappropriately disciplined a child while in care is substantiated. The facility is being cited for title 22 section 101223 (a) (3) Personal Rights and 101173 (d) Plan of Operation Plan of Operationwhich poses an potential health and safety risk to children in care. This was not met as evidenced by record review and confidential interviews the children are being place in time out for at least a minute for each year of age when disciplined.

An exit interview was conducted, this report, appeal rights was explained and handed to Director, Chandani Jayasinghe.

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. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00


SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20220211165507
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: PINK TOWER MONTESSORI
FACILITY NUMBER: 376701115
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/30/2022
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal rights, the licensee shall ensure that each child is accorded the following personal rights; To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This was not met as evidenced by….

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Director informed LPA Flores a retraining of staff will be completed by April 1, 2022 of the discipline procedures to be utilized in the faciity with children in care. Director will email the plan of correction to LPA Flores by 03/30/22.
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Based on confidential interviews and record review allegation that children are placed in time out as a form of discipline which poses a potential health and safety risk to children in care.
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Type B
03/30/2022
Section Cited
CCR
101173(d)
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101173 (d) Plan of Operation The childcare center shall operate in accordance with the terms specified in the plan of operation. This was not met as evidenced by…
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Director informed LPA Flores a retraining of the childcare program statement will be completed with staff and how to better use their words with the chidlren in care when needing to redirect the children by April 1,2022. Director will email the plan of correction to LPA Flores by 03/30/22.
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Based on record review and confidential interviews the childcare center is using time out as a form of discipline for the children in care, which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3