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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191202079
Report Date: 04/04/2025
Date Signed: 04/04/2025 02:26:07 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2025 and conducted by Evaluator Mayra Rivera
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20250402095955
FACILITY NAME:SMALL WORLD NURSERYFACILITY NUMBER:
191202079
ADMINISTRATOR:MILLER, LINDAFACILITY TYPE:
850
ADDRESS:26640 NORTH BOUQUET CANYON RDTELEPHONE:
(661) 296-1155
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:85CENSUS: 17DATE:
04/04/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Michelle Moyor, DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility staff are not appropriately addressing rodent infestation
INVESTIGATION FINDINGS:
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On Friday, April 4, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint investigation in regards the above allegation. Upon arrival, LPA toured the facility with director Michelle Moyor and observed 17 preschool children present playing with staff #1, staff #2, and staff #3 present providing care and supervision. LPA observed facility to be within ratio.

During today's investigation/inspection, LPA Rivera toured the facility and inspected the toy bins in the classrooms, children furniture, outdoor and outdoor shed. During the inspection, LPA observed rodent droppings in the shelf cabinet in room 6, and outdoor toys bins and outdoor shed (children had no access). During the staff interviews, it was stated the infestation has been going on since December 2024 in the shed and staff are no longer going inside the shed. The preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title 22 101238 Buildings and Grounds. (a)-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.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
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 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2025 and conducted by Evaluator Mayra Rivera
COMPLAINT CONTROL NUMBER: 12-CC-20250402095955

FACILITY NAME:SMALL WORLD NURSERYFACILITY NUMBER:
191202079
ADMINISTRATOR:MILLER, LINDAFACILITY TYPE:
850
ADDRESS:26640 NORTH BOUQUET CANYON RDTELEPHONE:
(661) 296-1155
CITY:SAUGUSSTATE: CAZIP CODE:
91350
CAPACITY:85CENSUS: 17DATE:
04/04/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Michelle Moyor, DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not ensuring facility is kept in a clean/sanitary manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On Friday, April 4, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint investigation in regards the above allegation. Upon arrival, LPA toured the facility with director Michelle Moyor and observed 17 preschool children present playing with staff #1, staff #2, and staff #3 present providing care and supervision. LPA observed facility to be within ratio.

During today's investigation/inspection, LPA Rivera toured the facility and inspected the toy bins in the classroom, children furniture, outdoor and outdoor shed. During the inspection, LPA observed rodent droppings in the shelf cabinet in room 6, and outdoor toys bins and outdoor shed (children had no access). During the staff interviews, it was stated staff are cleaning and disenfecting indoor classroom furniture and toys. Based on LPA Rivera observation in classroom 6, the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. California Code of Regulations, Title 22 101238 Buildings and Grounds. (a)-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 are being cited on the
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
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 6
Control Number 12-CC-20250402095955
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SMALL WORLD NURSERY
FACILITY NUMBER: 191202079
VISIT DATE: 04/04/2025
NARRATIVE
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attached LIC9099D.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made 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 Michelle Moyor. The director was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 12-CC-20250402095955
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SMALL WORLD NURSERY
FACILITY NUMBER: 191202079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/05/2025
Section Cited
CCR
101238(a)
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Buildings and Grounds-(a) 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. Based on LPA Rivera observation , LPA observed rodent droppings in the shelf cabinet in room 6, and outdoor toys bins and outdoor shed (children had no access).
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Clean and disinfect the classrooms, toy bins and furniture.Will be done next week during spring break 4/7/25- 4/11/25
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rodent droppings in the shelf cabinet in room 6, and outdoor toys bins and outdoor shed (children had no access) which poses a potential health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 12-CC-20250402095955
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SMALL WORLD NURSERY
FACILITY NUMBER: 191202079
VISIT DATE: 04/04/2025
NARRATIVE
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(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents. are being cited on the attached LIC9099D.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided to the director and explained.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made 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 Michelle Moyor. The director was provided a copy of the appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 12-CC-20250402095955
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: SMALL WORLD NURSERY
FACILITY NUMBER: 191202079
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/14/2025
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds- The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement is not met as evidenced by: Based on evidence and interviews the facility did not comply with the section cited above in appropriately addressing rodent infestation
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Either removed the shed permanently or hire an exterminator and clean and disinfect the shed by April 14, 2025. Will be done next week during spring break 4/7/25- 4/11/25
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which poses an immediate health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 6