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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020021
Report Date: 10/29/2019
Date Signed: 10/29/2019 04:38:14 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WORLD OF LITTLE ANGELSFACILITY NUMBER:
198020021
ADMINISTRATOR:TUROSCA ALLENFACILITY TYPE:
850
ADDRESS:2120 N. FAIR OAKS AVETELEPHONE:
(626) 639-3595
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:14CENSUS: 11DATE:
10/29/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Turosca Allen TIME COMPLETED:
01:35 PM
NARRATIVE
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Licensing Program Analyst (LPA) Crystal Green conducted an unannounced case management inspection to follow up on an incident that was reported to the Department on 07/11/2019. LPA met with Turosca Allen, Director. Census was taken.

On 07/03/2019, an unusual incident report was made to the department regarding a child who personal rights were violated by another child in care. The facility did not report this incident to the Department within the required 24 hours of the incident occurring. The purpose of the inspection was to obtain additional information regarding the incident. During inspection, LPA obtained information regarding how the facility handled the incident. Per Director, security footage was reviewed prior to conducting a meeting with both parents to discuss the incident. Per Director, child #1 no longer attends the facility. Child #2 currently attends the facility. Per Director, child #2 does not have a history of unusual incidents involving personal rights. However, at this time, due to facility not meeting the required reporting requirement facility is being cited in accordance with the Title 22 regulation. Please see attached LIC 809d.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Director, appeal rights provided and explained.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: WORLD OF LITTLE ANGELS
FACILITY NUMBER: 198020021
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/29/2019
Section Cited

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Reporting Requirements. A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified.

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This requirement was not met as evidence by the facility did not report this incident to the Department within the required 24 hours of the incident occurring. This poses a potential risk to the health and safety of the 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: Christina GabelmanTELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:
DATE: 10/29/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/29/2019
LIC809 (FAS) - (06/04)
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