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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 566213009
Report Date: 12/31/2024
Date Signed: 12/31/2024 03:24:15 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
10/07/2024 and conducted by Evaluator German Negrete
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20241007085046
FACILITY NAME:THREE ANGELS PRE-SCHOOL AND INFANT CENTERFACILITY NUMBER:
566213009
ADMINISTRATOR:MARY WIGGINSFACILITY TYPE:
840
ADDRESS:6300 TELEPHONE RD.TELEPHONE:
(805) 639-0363
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY:28CENSUS: 17DATE:
12/31/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mary WigginsTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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1. Facility is operating over ratio.
INVESTIGATION FINDINGS:
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On 12/31/2024, Licensing Program Analyst (LPA) German Negrete conducted an unannounced inspection at the Three Angels Center to deliver the findings of the above-mentioned complaint allegation received on 10/07/2024. LPA Negrete met with Director Mary Wiggins, and together they toured the center, both inside and out. LPA observed 2 staff providing care and supervision to the 17 children(school age).

The investigation included reviewing staff qualifications, the staff handbook (including the policy for being out of ratio), and conducting parent interviews with both current and previously enrolled children. LPA also interviewed the Director and staff. Additionally, LPA received and reviewed the documented sign-in/out sheets for children (school-age program) and staff time cards. The investigation also included LPA's personal observations.

Continued On LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2024
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 4
Control Number 17-CC-20241007085046
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 PRE-SCHOOL AND INFANT CENTER
FACILITY NUMBER: 566213009
VISIT DATE: 12/31/2024
NARRATIVE
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Pertaining to the Allegation: Out of Ratio

LPA conducted parent interviews. Most parents interviewed expressed satisfaction with the care and supervision. However, one parent stated, they have not received enough services from the center to feel comfortable recommending this center to other parents.

During the staff file review for the school-age program, LPA discovered that the following school-age staff members do not have the required Early Childhood Education (ECE) units or Child Development units: Staff #2, Staff #13, Staff #14, Staff #16, and Staff #17. In regard to Mandated Reporter Training (AB 1207), all school-age program staff have up-to-date AB 1207 certificates(see LIC812).

Additionally, LPA interviewed the Director, staff, and personnel currently associated with the facility. LPA also reviewed a statement from the Director, dated 11/14/2024, in which 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 54-day review of the children’s sign-in/out sheets and staff time cards (see LIC 812). LPA discovered the following discrepancies:

On 12/20/2024, from 1:08 PM to 1:21 PM, Staff #17(aide) was the only school age staff documented to be at the facility providing care and supervision to 12 children(school age).

On 12/19/2024, from 1:00 PM to 1:21 PM, the school-age program had 12 children attending, but it is unclear which staff member(s) provided care and supervision.

Continued on LIC9099-C

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 17-CC-20241007085046
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 PRE-SCHOOL AND INFANT CENTER
FACILITY NUMBER: 566213009
VISIT DATE: 12/31/2024
NARRATIVE
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When LPA asked the Director to provide documentation or evidence that would clearly show the facility was following the required ratios on 12/19/2024 and 12/20/2024, the Director was unable to provide any documentation or evidence (See LIC812).

Based on LPA interviews and documents collected/reviewed during the 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 LIC9099-D.

An exit interview was conducted, and the report was reviewed with the Director.

The LIC9224 will be issued to Director via email due to technical difficulties.

Appeal rights were provided via email to the Director.

Notice of Site Visit was issued via email.

SUPERVISORS NAME: Ana Tolentino
LICENSING EVALUATOR NAME: German Negrete
LICENSING EVALUATOR SIGNATURE:

DATE: 12/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 17-CC-20241007085046
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 PRE-SCHOOL AND INFANT CENTER
FACILITY NUMBER: 566213009
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/03/2025
Section Cited
CCR
101516.5(b)(1)
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A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children....
this regulation was not met..
LPA conducted interviews and reviewed documents that determined...
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Director will complete training videos pertaining to ratios on the CDSS Training website. Also director will provide a LIC9224-receipt of licensing forms to every parent who currently has a child enrolled in the program or any parent of a child who enrolles in the program with in the next 12 months.
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on 12/19/24, from 1:00 PM to 1:21 PM, the school-age program had 12 children attending, but it is unclear which staff member(s) provided care and supervision. Also on 12/20/24, from 1:08PM to 1:21PM, Staff #17(aide) was the only staff documented to be at the facility providing care and supervision to 12 children.
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After completing the training videos , Director will provide a summary of what the director learned to LPA Via email
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: 12/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4