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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566208585
Report Date: 11/14/2024
Date Signed: 11/14/2024 01:24:04 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
08/21/2024 and conducted by Evaluator German Negrete
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20240821141946
FACILITY NAME:THREE ANGELS PRESCHOOL AND INFANT CENTERFACILITY NUMBER:
566208585
ADMINISTRATOR:MARY WIGGINSFACILITY TYPE:
830
ADDRESS:6300 TELEPHONE RD.TELEPHONE:
(805) 639-0363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:20CENSUS: 11DATE:
11/14/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mary WigginsTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not ensure they were not out of ratio
INVESTIGATION FINDINGS:
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On 11/14/2024, Licensing Program Analysts (LPA) German Negrete conducted an unannounced inspection at the Three Angels Center to deliver the findings of the above mentioned complaint allegations received on 08/21/2024. LPA Negrete met with Director Mary Wiggins, LPA toured the center inside and out. LPA observed 4 staff providing care and supervision to 11 infants.

The investigations included reviewing staff qualifications, staff handbook. LPA conducted parent interviews of both current and previously enrolled infants, LPA also interviewed Director and staff, Additionally, LPA received and reviewed(documented) sign in/ou sheets for infants and staff time cards for the month of july august september of this year. The investigation also included LPA observations.

Pertaining to allegation#1Staff did not ensure they were not out of ratio(infants). LPA coducted parent interviews. Most parents interviewed stated, they were happy with the care and supervion. However there was one parent who stated they would prefer if the facility had higher skilled staff, in order to provide constant care and supervision. Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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 17-CC-20240821141946
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: THREE ANGELS PRESCHOOL AND INFANT CENTER
FACILITY NUMBER: 566208585
VISIT DATE: 11/14/2024
NARRATIVE
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Additionally, LPA interviewed the director, staff, and personnel who were/are currently associated with the facility. From these interviews, LPA gathered that the facility does not always maintain proper ratios. LPA also gathered a statement from the director on 11/14/2024. The director stated that there have been instances when director observed the facility/room was out of ratio, but the director is quick to find extra staff to bring the facility/room back into compliance.

As mentioned, LPA completed a review of the infant sign-out sheets and staff time cards for the months of July, August, and September of this year (see LIC812). LPA discovered the following discrepancies: On 08/01/2024, from 11:27 AM to 11:30 AM, staff #5 and #7 were supervising 13 infants. Also, on 08/02/2024, from 11:00 AM to 11:16 AM, staff #3 and #7 were supervising 12 infants. When LPA asked the director to provide documentation or evidence that would clearly show the facility was in compliance with ratios on 08/01/2024 and 08/02/2024, the director could not provide any documentation or evidence (see LIC812).

Based on LPA interviews, documents collected during investigation, 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.”

Exit Interview conducted and report was reviewed with Director.

appeal rights were given to director
.
Notice of Site Visit and appeal rights were issued.
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20240821141946
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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: 11/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/12/2024
Section Cited
CCR
101416.5(b)
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01416.5 Staff-Infant Ratio
the following shall apply:

(b) There shall be a ratio of one teacher for every four infants in attendance.
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The facility will draft/implement a policy that will provide guidence to the steps they will take if/when staff find themselves out of ratio. Director will email this policy to the department. Director will start utilizing walkie takies/radios to communicate with staff. and direvctor will document 10 minute breaks .
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This regulation was not met..
LPA conducted interviews and gathered documents that determined on 8/01/2024 S5 and S7 were supervsing 13 infants.
and 08/01/2024 S3 and S7 were supervising 12 infants.
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Director will email the documented staff breaks for for next 3 months to the department via email:
also director will email safe sleep logs for infants starting on 11/14/2024. The first log will be emailed on 12/02/2024 to :
German.Negrete@dss.ca.gov
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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: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3