<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416071
Report Date: 07/27/2023
Date Signed: 07/27/2023 12:59:34 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/16/2023 and conducted by Evaluator Jillinda Chandler
COMPLAINT CONTROL NUMBER: 30-CC-20230616094243
FACILITY NAME:ANTOINE'S LITTLE ANGELSFACILITY NUMBER:
197416071
ADMINISTRATOR:ANTOINE, DOMINIQUEFACILITY TYPE:
850
ADDRESS:11111 S. WESTERN AVENUETELEPHONE:
(323) 757-3980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:23CENSUS: 3DATE:
07/27/2023
UNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Janice Antoine - LicenseeTIME COMPLETED:
10:22 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 1- Licensee hit daycare children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/27/2023 Licensing Program Analyst (LPA) Jillinda Chandler made an unannounced visit to Atoines Little Angels Day Care for the purpose of delivering the findings for complaint # 30-CC-20230616094243. Present in the center were Licensee - Janice Antoine and three day care children.
Allegation 1- licensee hits day care children: On 6/22/2023 LPA Chandler interviewed Child 5(C1) and Child 2 (C2), both children were qualified to be interviewed. C5 disclosed that the licensee hit him in the palm of his hand with a drumstick, C2 disclosed that she is hit with an object ( child physically described the object ) C2 states that the licensee and her mama and papa whoops her. Based on the children's statements the above allegation is substaintiated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
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 8
Control Number 30-CC-20230616094243
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ANTOINE'S LITTLE ANGELS
FACILITY NUMBER: 197416071
VISIT DATE: 07/27/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If facility was cited type A violations or complaint is found to be substantiated or unsubstantiated, a copy of the licensing report (LIC. 809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Licensee must inform the parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC. 9224 Acknowledgement of Receipt of Licensing Reports.


An exit interview was conducted, appeal rights and this report were discussed with Licensee - Janice Antoine and a copy of this report was provided.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/16/2023 and conducted by Evaluator Jillinda Chandler
COMPLAINT CONTROL NUMBER: 30-CC-20230616094243

FACILITY NAME:ANTOINE'S LITTLE ANGELSFACILITY NUMBER:
197416071
ADMINISTRATOR:ANTOINE, DOMINIQUEFACILITY TYPE:
850
ADDRESS:11111 S. WESTERN AVENUETELEPHONE:
(323) 757-3980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:23CENSUS: 3DATE:
07/27/2023
UNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Janice Antoine - LicenseeTIME COMPLETED:
10:22 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Licensee did not meet daycare children's dietary needs
2. Licensee did not meet children's toileting needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/27/2023 Licensing Program Analyst (LPA) Jillinda Chandler made an unannounced visit to Atoines Little Angels Child Care Center for the purpose of delivering findings for complaint #30-CC-20230616094243 regarding the above allegations. Present in the center were Licensee, and 3 daycare children.
On 6/22/2023 LPA Interviewed Child #2 (C2) and Child #5 (C5),and on 7/27/2023, licensee Janice Antoine was interviewed regarding the above allegations.
Based on interviews and LPAs observations of children' s activities i.e.. toileting and meals, during the two visits there was no evidence of violation of the above allegations.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 30-CC-20230616094243
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ANTOINE'S LITTLE ANGELS
FACILITY NUMBER: 197416071
VISIT DATE: 07/27/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The above allegations are found to be "Unsubstantiated" meaning that although the allegation could have happened or could (possibly) be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.”

An exit interview was conducted, The report was discussed, appeal rights and a copy of this report was report was provided to Licensee Janice Antoine
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 8
Control Number 30-CC-20230616094243
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ANTOINE'S LITTLE ANGELS
FACILITY NUMBER: 197416071
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/03/2023
Section Cited
CCR
101223(a)(3)
1
2
3
4
5
6
7
101223(a)(3) Personal Rights:(a) The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, ...
1
2
3
4
5
6
7
Licensee shall immediately refrain from using any type of corporal or unusal forms of discipline. Licensee shall provide training to all staff and provide a roster of staff participation. on "Childrens Personel Rights in
8
9
10
11
12
13
14
this requirement is not met as evidenced by:Based on interviews with C2 and C5, licensee hit the daycare children which is an immediate risk to children in care.
8
9
10
11
12
13
14
 Child Care" under Child Care operators go to ccld.childcarevideoes .org. Prooof of participation shall be delivered to the Department no later than August 3, 2023
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.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/16/2023 and conducted by Evaluator Jillinda Chandler
COMPLAINT CONTROL NUMBER: 30-CC-20230616094243

FACILITY NAME:ANTOINE'S LITTLE ANGELSFACILITY NUMBER:
197416071
ADMINISTRATOR:ANTOINE, DOMINIQUEFACILITY TYPE:
850
ADDRESS:11111 S. WESTERN AVENUETELEPHONE:
(323) 757-3980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:23CENSUS: 3DATE:
07/27/2023
UNANNOUNCEDTIME BEGAN:
08:51 AM
MET WITH:Janice Antoine - LicenseeTIME COMPLETED:
10:22 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation 2 -Licensee commingled daycare children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Allegation 2 - Children are commingled: On 6/22/2023 and during todays visit LPA observed C4 participating in activities and being cared for in the same classroom as the preschool aged children. On 6/22/2023 LPA observed the infant classroom, per the licensee this room was no longer the infant room, it is currently being used as a staff lounge. Based on these observations and statements, Allegation 2 is substantiated.

Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 30-CC-20230616094243
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ANTOINE'S LITTLE ANGELS
FACILITY NUMBER: 197416071
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2023
Section Cited
CCR
101438.3
1
2
3
4
5
6
7
101438.3 Indoor Activity Space for Infants:(a) In addition to Section 101238.3, the following shall apply:(b)Indoor activity space for infants shall be physically separate from space used by children in
1
2
3
4
5
6
7
Licensee shall devise a plan to ensure that children of separate components are not commingled at anytime... indoors and outdoors (Title 22,sec. 101438.2(a)(b). Licensee shall provide the plan of operations,
8
9
10
11
12
13
14
the child care center... This requirement is not met as evidenced by:Observation on 6/22/2023 and 7/27/2023 LPA observed C4 participating with preschool children.This is a possible safety risk to children in care.
8
9
10
11
12
13
14
including daily activity schedules (if applicable) to the department no later than 7/31/2023 via email, regular mail or fax
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.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Jillinda Chandler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023
LIC9099 (FAS) - (06/04)
Page: 8 of 8