376701413-11-7-2019-20-CC-MCUY-BHR2RS-20191108163800

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701413
Report Date: 11/07/2019
Date Signed: 11/07/2019 01:23:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2019 and conducted by Evaluator Selina Siao

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20190816084148

FACILITY NAME:	LITTLE ANGELS ACADEMY		FACILITY NUMBER:	376701413
ADMINISTRATOR:	ANAHIT ANTONYAN		FACILITY TYPE:	830
ADDRESS:	3078 L STREET		TELEPHONE:	(619) 458-9553
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92102
CAPACITY:	32	CENSUS: 22	DATE:	11/07/2019
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Anahit Antonyan, Hunan Arshakian		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility failed to informed licensing that the water was shut off by the City of San Diego on 07/01/2019 through 07/02/2019. As a result the facility was closed on 07/02/2019.

Facility has mice infestation and droppings are found in the classroom

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), Selina Siao and Vicky Williamson conducted an unannounced inspection to deliver the above complaint finding. The initial inspection and tour of the preschool classrooms was conducted by Analyst Siao on 08/23/2019.
Throughout the course of investigation, interviews were conducted with several staff members and several daycare parents. Administrator Hunan Arshakian stated that the City of San Diego shut off the water in the area on 07/01/2019 during the afternoon and the water remain shut off on 07/02/2019 therefore the facility was closed. Administrator stated that he did not know that he had to report that to Licensing. Information confirmed that a child in care found a mouse dropping, a staff observed the incident and the parent was informed of the incident around April or June of 2019. Based on 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, Title 22, 101212(d)(1)(C) and 101238(a)(1) are being cited on the attached LIC 9099D.
Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

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 20-CC-20190816084148

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: LITTLE ANGELS ACADEMY	FACILITY NUMBER: 376701413
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/07/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/15/2019 Section Cited CCR 101212(d)1)(C)	1 2 3 4 5 6 7	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. ..... Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.	1 2 3 4 5 6 7	Facility representative stated that he will have a change in policy that any unusual incident shall be reportetd to licensing within 24 hours. Staff will sign the updated policy and it will be submitted to licensing no later than 11/15/2019.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: The City of San Diego shut off the water at the facility on 07/01/19 in the afternoon through 07/02/19. Facility was closed on 07/02/19 and information was not reported to Licensing. This poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14
Type B 11/15/2019 Section Cited CCR 101238(a)(1)	1 2 3 4 5 6 7	The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.	1 2 3 4 5 6 7	Facility representative stated the facility will continue to have monthly pest control service and have staff members continue to monitor the classrooms and playground before the children starts school to ensure the facility are free of rodents.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Around April through June 2019, a child in care picked up a rat dropping and the incident was observed by a staff member. Information was also reported to the parent. This poses a potential health and safety risk to clients in care.	8 9 10 11 12 13 14	Staff will sign the updated policy and it will be submitted to licensing no later than 11/15/2019.

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: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2019 and conducted by Evaluator Selina Siao

COMPLAINT CONTROL NUMBER: 20-CC-20190816084148

FACILITY NAME:	LITTLE ANGELS ACADEMY		FACILITY NUMBER:	376701413
ADMINISTRATOR:	ANAHIT ANTONYAN		FACILITY TYPE:	830
ADDRESS:	3078 L STREET		TELEPHONE:	(619) 458-9553
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92102
CAPACITY:	32	CENSUS:	DATE:	11/07/2019
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:			TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility operated with no water on 07/01/2019
Unqualified staff working as a teacher in the infant room
Child in care ingested a mouse dropping

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), Selina Siao and Vicky Williamson conducted an unannounced inspection to deliver the above complaint findings. The initial inspection and tour of the preschool classrooms was conducted by Analyst Siao on 08/23/2019.
Throughout the course of investigation, interviews were conducted with several staff members, several daycare parents and several children. Based on interviews obtained, it appears that the facility has reserved water available to cleans and sanitized the childrens and staff members hands when the water was shut off on 07/01/2019 in the afternoon. Parents stated that they were not aware of the facility operating differently on 07/01/2019. There is lack of supporting information to support that an unqualified staff working as a teacher in the infant room or that a child in care ingested a mouse dropping. The above allegations are unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Monica Cuddy	TELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina Siao	TELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

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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