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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012441
Report Date: 06/08/2022
Date Signed: 06/08/2022 05:08:16 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
04/20/2022 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20220420122226
FACILITY NAME:ANGEL'S MONTESSORI PRESCHOOL, INC.FACILITY NUMBER:
198012441
ADMINISTRATOR:MELINA PETROSYANFACILITY TYPE:
850
ADDRESS:150 N. GARFIELD AVENUETELEPHONE:
(626) 457-5927
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:81CENSUS: 60DATE:
06/08/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Melina PetrosyanTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Covid cases not being reported.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Melina Petrosyan.

During the course of this investigation LPA Lee made observations, reviewed documents, and conducted interviews in regards to the above allegation.

The complaint alleged that the facility was not reporting positive covid cases. During an interview Director stated that the facility notified parents on 04/16/2022 via email that a child had tested positive on 04/15/2022. After the initial email was sent the facility was informed additional positives from other children and staff. By the next business day which was Monday 04/18/2022 the facility had a told of 5 positives.

LPA Lee observed that there was no incident reported called, faxed, or emailed to the department for the 5 positives on 04/18/2022. When asked on 04/22/2022 if the positive cases were reported to the department, the Director stated she did not report theses cases because she believed the protocol for reporting covid cases to the department had changed.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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 33-CC-20220420122226
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: ANGEL'S MONTESSORI PRESCHOOL, INC.
FACILITY NUMBER: 198012441
VISIT DATE: 06/08/2022
NARRATIVE
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The Director stated that she was informed by the Monterey Park regional office that she had to obtain a reference number from the health department before submitting the incident report. The Director stated she obtained the number from the health department on 04/20/2022. LPA Lee observed that the incident report was faxed by the facility on 04/22/2022.

Although the facility did report the positive cases on 04/22/2022, the facility did not report the cases within the required time period. Since the positive cases were reported to the facility on 04/16/2022 which was on the weekend, the facility had 24 hours from the beginning of Monday 04/18/2022 to report the incident to the regional office. The facility did not meet this requirement which is a potential risk to children in care.

Based on the information obtained during the investigation, the preponderance of evidence standard has been met, therefore the allegations that Covid cases not being reported has been Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 6), is being cited on the attached LIC 9099D.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Melina Petrosyan . Appeal rights discussed and explained.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 33-CC-20220420122226
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: ANGEL'S MONTESSORI PRESCHOOL, INC.
FACILITY NUMBER: 198012441
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2022
Section Cited
CCR
101212(d)
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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified
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POC has already been met since the incident report was already faxed in on 04/22/2022.
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in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement was not met as evidenced by the facility nort reporting the covid positives within the 24 hours on 04/18/2022. This is a potential 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.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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, 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
04/20/2022 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20220420122226

FACILITY NAME:ANGEL'S MONTESSORI PRESCHOOL, INC.FACILITY NUMBER:
198012441
ADMINISTRATOR:MELINA PETROSYANFACILITY TYPE:
850
ADDRESS:150 N. GARFIELD AVENUETELEPHONE:
(626) 457-5927
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:81CENSUS: 60DATE:
06/08/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Melina PetrosyanTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility is not safe due too many children and staff testing positive for Covid. Personal Rights Concern.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Melina Petrosyan.

During the course of this investigation LPA Lee made observations, reviewed documents, and conducted interviews in regards to the above allegation.

The complaint alleges that around 04/18/2022 3 staff members and 8 children tested positive for covid. The facility denied this allegation and made no disclosure. Interviews conducted with the staff and Director did not provide any additional evidence related to the above allegation. The Director stated 2 staff members and 3 children were confirmed positive for the 2 year old classroom during the week of 04/18/2022. The Director stated that the classroom with the positives was shut down for 1 week due to the positve cases.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
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 33-CC-20220420122226
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: ANGEL'S MONTESSORI PRESCHOOL, INC.
FACILITY NUMBER: 198012441
VISIT DATE: 06/08/2022
NARRATIVE
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The Director stated that the classroom was shut down to prevent further spread of covid and was not a requirement from health department. The complaint alleged that a total of 3 staff and 8 children tested positive, and all the parents were not informed of this covid outbreak. The facility denied this allegation and stated that the facility informs all parents of positive cases to minimize to risk of spread.

Although the facility did have a outbreak of covid on 04/18/2022 per records, the existence of an outbreak does not necessarily prove that individuals contracted covid at the facility due to some form of negligence. During unannounced inspections conducted during the investigation, LPA Lee did not observe anything that would indicate an increased risk of spread of covid since the facility was following all the guidelines from the department of health to help mitigate the risk of spread.

Based on the evidence collected during the investigation, the allegation that facility is not safe due too many children and staff testing positive for Covid may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is found to be unsubstantiated.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Melina Petrosyan . Appeal rights discussed and explained.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7