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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016106
Report Date: 07/28/2021
Date Signed: 07/28/2021 11:15:14 AM



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
06/18/2021 and conducted by Evaluator Alanna Gontarek
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210618111148
FACILITY NAME:ANGELA PRESCHOOL & KINDERGARTENFACILITY NUMBER:
198016106
ADMINISTRATOR:BAO JUAN XUFACILITY TYPE:
850
ADDRESS:1930 NOGALES STREETTELEPHONE:
(626) 964-3281
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY:230CENSUS: 81DATE:
07/28/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Hong HouTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Children are not practicing social distancing
Children are not wearing masks
INVESTIGATION FINDINGS:
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An unannounced follow up complaint inspection was made on this day by Licensing Program Analyst (LPA) Alanna Gontarek to the licensed day care center. LPA met with Director Hong Hou for the purpose of delivering findings of the complaint received 6/18/2021. There were a total of 9 staff and 81 children present during this inspection.
As of 6/18/2021, when the complaint was received, the guidance from The California Department of Public Health, for the use of face coverings and social distancing, was a requirement. The Guidance was issued June 18th, 2020 and updated 5/22/2021, stating any child 2 years old and above are required to wear a mask at the facility, and 6 feet of physical distancing is to be practiced when children are eating, during activity stations, and when children are sitting at tables.
Per complainant, Children two and over are not required to wear masks. If parents inquire about a mask, the Center will provide a child a mask. Complainant also states, children are not required to social distance while in the classroom or during breakfast because there are no extra tables available for children to practice social distancing.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
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-20210618111148
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: ANGELA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198016106
VISIT DATE: 07/28/2021
NARRATIVE
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Page 2: Unsubstantiated
Pertaining to the allegation: Children are not wearing masks. On this date, 7/28/2021, at 9:05 a.m., LPA observed 80 children out of a total of 81 children wearing a face mask inside the classroom. Per staff interviewed, corroborating statements were made that some parents bring their child a mask. If children do not bring a mask, staff will provide an extra disposable mask for each child, along with making sure children wear the mask all day, giving verbal reminders to keep mask on. LPA observed extra disposable face masks in each room, and a COVID-19 ‘Face Mask Required’ sign posted on front entry gate. Per parents interviewed, multiple disclosures were made that COVID-19 protocols are to wear masks at the Preschool.
Pertaining to the allegation: Children are not practicing social distancing. On 6/23/2021, during nap time, LPA observed children sleeping in opposite directions, and observed napping equipment and children’s desks, distanced apart, in each classroom: Room #1, Room #2, Room #3, Room #5, Room #6, Room #7, and Room #8. Photos were taken. Per Director, there is no Room #4. Per staff interviewed, multiple disclosures were made that during breakfast, the teachers place the tables distanced apart, placing the chairs at each table on each side of the table, so the children are not sitting close to each other. Staff state there are 4 children per table.

During investigation, LPA conducted interviews with: Complainant, staff, and children’s authorized representatives. During visit to facility on 6/23/2021, LPA gathered the following documentation which includes: Staff schedule for month of June, Staff Time sheets, and Children's sign in and sign out sheets for month of June, Activity Schedules for each Preschool classroom, and a Facility Roster. LPA Jennifer Hua conducted a Rapid Assistance Support Team technical assistance video call via FaceTime to facility on 7/6/2020 regarding Department of Public Health Guidance for COVID-19 preventative measures. Per Director, receives Provider Information Notices (PINs) regarding continuous updates to Department of Public Health Guidance for COVID-19.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted with Director Hong Hou. A copy of this report (LIC 9099), and Appeal Rights were provided. A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
LIC9099 (FAS) - (06/04)
Page: 7 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
06/18/2021 and conducted by Evaluator Alanna Gontarek
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210618111148

FACILITY NAME:ANGELA PRESCHOOL & KINDERGARTENFACILITY NUMBER:
198016106
ADMINISTRATOR:BAO JUAN XUFACILITY TYPE:
850
ADDRESS:1930 NOGALES STREETTELEPHONE:
(626) 964-3281
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY:230CENSUS: 81DATE:
07/28/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Hong HouTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff are commingling cohorts
INVESTIGATION FINDINGS:
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An unannounced follow up complaint inspection was made on this day by Licensing Program Analyst (LPA) Alanna Gontarek to the licensed day care center. LPA met with Director Hong Hou for the purpose of delivering findings of the complaint received 6/18/2021. There were a total of 9 staff and 81 children present during this inspection.
Complainant stated: “Staff commingle different classrooms during breakfast.”
As of 6/18/2021, when the complaint was received, the guidance from The California Department of Public Health, regarding the use of ‘Stable Groups’, was listed as a requirement. The Guidance was issued June 18th, 2020 and updated 5/22/2021, stating, “If more than one group of children is cared for at a facility, each group stays in a separate room. Groups do not mix with each other in classrooms, outdoor spaces, or any common space within the facility.”
During investigation, LPA conducted interviews with staff and children’s authorized representatives. Documentation was obtained, including: Staff schedule for month of June, Staff Timesheets, and Children's sign in and sign out sheets for month of June, Activity Schedules for each Preschool classroom, and a
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 33-CC-20210618111148
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: ANGELA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198016106
VISIT DATE: 07/28/2021
NARRATIVE
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Page 2: Substantiated

Facility Roster. Per staff, school provides breakfast inside the “Breakfast Room” between 7:00 a.m. and 9:00 a.m., Staff also stated that one staff serves the breakfast, one staff watches the children, and one staff takes children’s temperatures and escorts the children to their assigned classrooms. Multiple staff disclosures were made that different children, from different classrooms, eat together in the “Breakfast Room,” and have always scheduled breakfast this way. Multiple children authorized representative disclosures were made stating due to COVID-19, children were dropped off at the front entry gate and a staff member would escort their child to either the “Breakfast Room” or child’s classroom.

LPA Jennifer Hua conducted a Rapid Assistance Support Team technical assistance video call via FaceTime to facility on 7/6/2020 regarding Department of Public Health Guidance for COVID-19 preventative measures, providing technical assistance to the facility. Per Director, Owner receives Provider Information Notices (PINs) regarding continuous updates to Department of Public Health Guidance for COVID-19.

On 6/23/2021, the Director did not ensure the personal rights of children in care in regards to safe and healthful accommodations, as required by the California Department of Public Health Guidance, issued June 18, 2020 and updated May 22nd, 2021, in that, staff did not separate the stable groups, mixing the cohorts of children, during the COVID-19 pandemic,

Based on LPA’s observations, interviews conducted, staff’s own admittance, record review, and documents obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1 Article 6), are being cited on the attached LIC 9099D.

During today's visit, LPA Gontarek assisted Director in setting up emails to receive Provider Information Notices (PINs) and assisted in navigating through LA County Department of Public Health's website for guidances.

Exit interview conducted with the Director, Hong Hou. A copy of The Complaint Investigation Report (LIC 9099 & Appeal Rights were discussed and provided at the time of the visit. A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 33-CC-20210618111148
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: ANGELA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 198016106
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful...accomodations..to meet his/her needs. This requirement was not met as evidenced by: Multiple staff disclosures were made that different children, from
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Per Director, Children are currently eating in their own classrooms. Per Director, will have a Staff Training regarding COVID-19 current guidance. DIrector will submit meeting Agenda/notes and staff signatures via email by the due date of 8/6/2021.
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 different classrooms, eat together in the “Breakfast Room.” Licensee did not follow Dept. of Public Health's guidance to separate the stable groups, mixing the cohorts of children, during the COVID-19 pandemic. This poses a potential health and safety risk to children in care.
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LPA Gontarek assisted Director in setting up emails to receive Provider Information Notices (PINs) and assisted in navigating through LA County Department of Public Health's website for guidances.
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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: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 7