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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376701115
Report Date: 10/11/2022
Date Signed: 10/11/2022 01:00:25 PM

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
08/17/2022 and conducted by Evaluator Andrea Taylor
COMPLAINT CONTROL NUMBER: 10-CC-20220817100905
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: 15DATE:
10/11/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chandani Jayasinghe-OwnerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Ratio-school is out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Andrea Taylor and Licensing Program Manager (LPM) Pauline Beschorner arrived at the facility for the purpose of conducting a subsequent complaint inspection, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 8/19/2022. A follow up visit was conducted on 09/13/22 and further interviews were also conducted on this date. LPA met with Director Chandani Jaysinghe and discussed the above allegations.

On 08/19/2022 LPA Andrea Taylor conducted interviews with 7 staff, all of whom are pertinent to this investigation. Along with interviews and observations, the investigation revealed that:
The allegation of school being out of ratio is substantiated. The interviews and records show there were enough staff to supervise the number of children attending all times. LPA Taylor and LPM Beschorner observed 15 children on the play ground and one staff went inside the front door where they could not see all the children in care. The other staff was inside the building at the time of LPA and LPM arrived.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
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 7
Control Number 10-CC-20220817100905
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: 10/11/2022
NARRATIVE
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Based on LPAs and LPMs observations and interviews which were conducted, the preponderance of
evidence standard has been met, therefore the above allegation is found to be
SUBSTANTIATED. California Code of Regulations, 101223 (a) (2) is being cited on the
attached LIC 9099D.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights
and deficiencies were discussed. The facility representative was provided a copy of their
appeal rights (LIC 9058 12/15) 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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 10-CC-20220817100905
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: 10/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/12/2022
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
This requirement was not met as evidenced by:
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The owner states they have staff who are not present today.
Fix the schedule of staff and not use herself in the raito.

Will submit new schedule (LIC500) to LPA Taylor at:
andrea.taylor@dss.ca.gov
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LPA AND LPM observed staff go inside the front door and no staff on the playground with the children. Staff came back outside in less than one minutes time.
This poses a potential risk to the Health and
Safety of 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: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
08/17/2022 and conducted by Evaluator Andrea Taylor
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220817100905

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: 15DATE:
10/11/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Chandani Jayasinghe-OwnerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not allow responsible party to pick up day care child from care
Uncleared adult was doing work in the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Andrea Taylor and Licensing Program Manager (LPM) Pauline Beschorner arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 8/19/2022. A follow up visit was conducted on 09/13/22 and further interviews were also conducted on this date. LPA met with Director Chandani Jaysinghe and discussed the above allegations.

On 08/19/2022 LPA Andrea Taylor conducted interviews with 7 staff, all of whom are pertinent to this investigation. Along with interviews, the investigation revealed that:
The allegation of an uncleared adult doing work in the facility while children were present. The persons interviewed stated there are no persons ever working at the facility doing repair work during open hours. The owner stated there was on parent who changed a light bulb in the lobby after hours on one occasion. The owner stated there were no children present at the time. There is conflicting evidence with allegation of an uncleared adult was working around the children.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 10-CC-20220817100905
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: 10/11/2022
NARRATIVE
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9099 A page 2

Based on the information received by interviews with staff the above allegation cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.



There is an allegation of the staff released a child to person who did not have custody of this child. There is no court order on file at the school. The paperwork was allegedly given to licensee but there is not evidence of the paperwork being given to the licensee or not.

Based on the information received by interviews with staff and children the above allegation cannot be verified. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights
and deficiencies were discussed. The facility representative was provided a copy of their
appeal rights (LIC 9058 12/15) 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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7