376701413-2-21-2020-20-CC-JGAY-BNBVM7-20200403163304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701413
Report Date: 02/21/2020
Date Signed: 02/21/2020 03:54:57 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
02/06/2020 and conducted by Evaluator Diana Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20200206102100

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: 25	DATE:	02/21/2020
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Anahit Antonyan, Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff failed to follow safe sleeping practices.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Diana Sanchez, made an unannounced complaint inspection today to deliver complaint finding on the above allegation. LPA met with Anahit Antonyan and made her aware of the reason for today’s inspection. Current census is 25.

This agency has investigated the complaint alleging facility staff placed children to nap on a Boppy type pillow. During the investigation, LPA reviewed video footage, interviewed facility staff and parents. LPA inspected the facility on 2/07/2020 at 2:35 p.m. and observed five infants laying on top of Boppy type pillows in infant classroom #6. Three of the infants were asleep. LPA reviewed video footage for the three napping infants and one of the infants was observed asleep face down on the Boppy type pillow at beginning at 1:40 p.m. Staff admitted to placing children to nap on the Boppy pillows, but stated they transfer the children to a crib once they fall asleep. A review of the manufacturer’s recommendations indicates children are to never be allowed to sleep on Boppy pillows.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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-20200206102100

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
	VISIT DATE: 02/21/2020

NARRATIVE

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Based on LPA’s observations and staff interviews, 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), are being cited on the attached LIC 9099D.”)

An exit interview was conducted with Anahit Antonyan and a copy of this report and LIC-9099D left at the facility as well as appeal rights. During this evaluation, LPA advised Anahit that all request for extensions of any citations/Proof of Corrections (POCs) must be made within 10 days to the issuing LPA on or before the date the POC is due. Appeals to citations must be made within 15 days in writing to the issuing LPA's supervisor on or before the date the POC is due.

NOTICE OF SITE VISIT MUST BE POSTED FOR 30 DAYS

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 20-CC-20200206102100

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: 02/21/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/22/2020 Section Cited CCR 101439.1(b)	1 2 3 4 5 6 7	101439.1 Infant Care Center Napping Equipment. (b) A standard size six-year crib or porta-crib meeting…requirements shall be provided for each infant who is unable to climb out of a crib. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Facility director stated that they had a meeting with staff and provide them additional safe sleep training. Director provided a copy of the staff training outline with each staff signature as proof of correction. No additional plan of correction needed. Deficiency has been cleared.
	8 9 10 11 12 13 14	Based on LPA observations and staff interviews the licensee did not provide a crib for each napping infant which poses an immediate Health and Safety risk to the 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: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC9099 (FAS) - (06/04)

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