566208585-2-7-2022-17-CC-ATOO-CBGMAC-20220209082604

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566208585
Report Date: 02/07/2022
Date Signed: 02/07/2022 05:00:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/09/2021 and conducted by Evaluator Sylvia Mendoza-Ceja

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20211109090710

FACILITY NAME:	THREE ANGELS PRESCHOOL AND INFANT CENTER		FACILITY NUMBER:	566208585
ADMINISTRATOR:	MARY WIGGINS		FACILITY TYPE:	830
ADDRESS:	6300 TELEPHONE RD.		TELEPHONE:	(805) 639-0363
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	20	CENSUS: 16	DATE:	02/07/2022
		UNANNOUNCED	TIME BEGAN:	12:31 PM
MET WITH:	Mary Wiggins		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Commingling Infants and Preschool

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Today's inspection was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and A. Rios. The purpose of today's inspection is to conclude the complaint initiated on 11/15/2021. Investigation included obtaining the complainant's statement, child care roster, interviewing the parents of children in care, and staff.
-Parents of children in care current/former were interviewed did not corroborate the above allegation.
Parents stated they were satisfied with the care and supervision.

-Staff interviewed revealed there are at least two families who arrive late for pick up from the different programs. Director Wiggins stated, she thought that she could follow the COVID-19 Waiver.

Based on observation and interviews, revealed the center has commingled the infants with their siblings who are in another program which is violation of the regulation. The following Type B deficiency is cited on page 2 according to CCR, Title 22 Division 12. An exit interview was conducted and Appeal Rights were provided.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/09/2021 and conducted by Evaluator Sylvia Mendoza-Ceja

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20211109090710

FACILITY NAME:	THREE ANGELS PRESCHOOL AND INFANT CENTER		FACILITY NUMBER:	566208585
ADMINISTRATOR:	MARY WIGGINS		FACILITY TYPE:	830
ADDRESS:	6300 TELEPHONE RD.		TELEPHONE:	(805) 639-0363
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY:	20	CENSUS: 16	DATE:	02/07/2022
		UNANNOUNCED	TIME BEGAN:	12:31 PM
MET WITH:	Mary Wiggins		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is out ratio: Infant Child Ratio

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Today's inspection was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and A. Rios. The purpose of today's inspection is to conclude the complaint initiated on 11/15/2021. Investigation included obtaining the complainant's statement, interviewing the parents of children in care, and staff.

-Parents of children in care current/former were interviewed did not corroborate the above allegation. Parents stated they were satisfied with the care and supervision.
- Staff interviewed did not corroborate the above allegation.
- During the inspection of 11/15/2021 and today's inspection 02/07/2022, the center was in compliance with the Facility Infant Child Ratio.

The above allegation is unsubstantiated, based on LPAs observations, interviews with Director, parents, complainant, and record review. Although these allegations may have occurred, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore, the allegation is unsubstantiated. An exit interview was conducted with the with the Licensee.
A copy of this report and appeal rights were discussed and left with the Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022

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 3

Control Number 17-CC-20211109090710

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: THREE ANGELS PRESCHOOL AND INFANT CENTER	FACILITY NUMBER: 566208585
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/07/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/07/2022 Section Cited CCR 101161(a)	1 2 3 4 5 6 7	A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met and evidenced by:	1 2 3 4 5 6 7	Please submit a plan of correction to Licensing for review.
	8 9 10 11 12 13 14	LPAs observation and interviews which revealed Director has allowed the infants to commingle with children (siblings) from another program. This poses a potential risk to the Health and Safety of 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: Ana Tolentino	TELEPHONE: (805) 562-0437
LICENSING EVALUATOR NAME: Sylvia Mendoza-Ceja	TELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3