191598412-4-28-2023-33-CC-ACHO-CSCQNM-20230531121921

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191598412
Report Date: 04/28/2023
Date Signed: 04/28/2023 12:05:38 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2023 and conducted by Evaluator Monique Jessica Ayala

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230413143526

FACILITY NAME:	ALMANSOR CENTER, THE		FACILITY NUMBER:	191598412
ADMINISTRATOR:	TAMERA PINELO		FACILITY TYPE:	830
ADDRESS:	1955 FREMONT AVE		TELEPHONE:	(323) 341-7768
CITY:	S. PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY:	27	CENSUS: 12	DATE:	04/28/2023
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Tamera Pinelo, Director		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Ratio: Staff are operating over ratio

INVESTIGATION FINDINGS:

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On April 28, 2023, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced complaint investigation for the above allegation. A COVID-19 risk assessment was conducted prior to entering the facility. LPA toured the infant classroom and observed 11 infants with 2 staff member.

Reporting party alleged, staff are operating over ratio. LPA observed at 10:45AM Staff #1 (S1) leaving the office returning to the infant classroom. LPA approached the classroom and observed 2 staff including S1 in the classroom. LPA asked S1 if Staff #2 (S2) was in the classroom alone with the 11 children. S1 stated, yes because S1 had to get the children's lunches. LPA asked S1 where the other staff were, S1 stated that they were on lunch. At 11:05AM LPA observed Staff #3 (S3) enter the classroom and shortly after another infant arrived (now 12 infants). Staff #4 (S4) arrived shortly after. LPA informed S1 about infant-teacher ratios. LPA was unable to review staff records due to Director being included in the ratio for the preschool program, license number 191594162 which is located on the same premisis.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230413143526

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALMANSOR CENTER, THE	FACILITY NUMBER: 191598412
	VISIT DATE: 04/28/2023

NARRATIVE

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Based on observation, the above allegation is deem SUBSTANTIATED. This poses an immediate Health and Safety risk to children in care. The facility is being cited a Type A Deficiency in accordance with Title 22 Regulations (see LIC9099D).

Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Report was provided.

An exit interview was conducted and a copy of this report was provided to Director along with Notice of Site Visit and Appeal Rights.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20230413143526

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALMANSOR CENTER, THE	FACILITY NUMBER: 191598412
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/28/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/12/2023 Section Cited CCR 101416.5(b)(1)(A)	1 2 3 4 5 6 7	Staff-Infant Ratio: There shall be a ratio of one teacher for every four infants in attendance. An aide may be substituted for a teacher when all of the following conditions are met: There is a fully qualified teacher directly supervising no more than 12 infants...	1 2 3 4 5 6 7	Director will have an all staff meeting reviewing ratios with staff and provide LPA with a copy of meeting agenda and sign in sheets. Director will also submit a schedule for the staff and when their breaks are ensuring ratios.
	8 9 10 11 12 13 14	This requirement was not met as evidence by: Based on observations S2 was in the classroom alone with 11 infants. S1 and S2 were observed to be providing care for 11 infants. This poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2023

LIC9099 (FAS) - (06/04)

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