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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414004621
Report Date: 06/27/2022
Date Signed: 06/27/2022 02:22:23 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2022 and conducted by Evaluator Leslit Tapia-Mandujano
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20220620145446
FACILITY NAME:SORTO, ANGELICAFACILITY NUMBER:
414004621
ADMINISTRATOR:SORTO, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 384-6573
CITY:EAST PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY:14CENSUS: 4DATE:
06/27/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Licensee, Angelica SortoTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Day care child was forced to ingest an unknown substance while in care.
Staff forced their fingers down the throat of a day care child while in care, causing injuries.
INVESTIGATION FINDINGS:
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On June 27, 2022 at approximately 11am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced 10- day complaint inspection in response to the above allegations. LPA met with licensee, Angelica Sorto, and explained the purpose of the visit. Present during inspection included licensee and licensee's assistant caring for 4 children (3 preschoolers and 1 school age).

During today’s visit, LPA conducted a health and safety inspection, interviewed licensee, obtained copies of children and staff records, incident reports, and obtained other pertinent information.

During interview with licensee, licensee stated that C2 and his sibling came to the facility with a cough. Per licensee, P3 brought to the facility honey syrup on 6/15 for licensee to administer. Per licensee, P3 gave verbal consent to administer honey syrup to C2 and C3. Licensee stated that on 6/16 when she was administering the honey syrup to C2, C2 started to gag and throw up after ingesting the honey syrup. Per licensee, C2 had phlegm stuck in his throat and to help assist C2 to clear his throat, licensee put her one finger in C2’s mouth.

Continued on Page 2...
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
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 3
Control Number 05-CC-20220620145446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SORTO, ANGELICA
FACILITY NUMBER: 414004621
VISIT DATE: 06/27/2022
NARRATIVE
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Page 2 Continued..

Based on LPA’s observations, interviews and record review which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited. Please refer to 9099D for more information.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Angelica Sorto.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 05-CC-20220620145446
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SORTO, ANGELICA
FACILITY NUMBER: 414004621
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
07/27/2022
Section Cited
CCR
102423(a)(4)
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102423(a)(4): ): Personal Rights: “Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following… infliction of pain…interference with medication or aids to physical functioning.”

This requirement was not met as evidenced by:
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Licensee agrees that moving forward she will obtain written consent of any prescribed or non-prescribed medications.

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Based on interview, the licensee did not comply with the section cited above as there was honey syrup administered to C2 without written consent and licensee did put her finger in C2’s mouth to assist C2 with clearing his throat, which poses a potential health, safety or personal rights risk to persons in care.
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Licensee will develop a written plan for administering medication and steps to be taken for similar incidents.
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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.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3