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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 573621510
Report Date: 08/10/2022
Date Signed: 08/10/2022 12:42:11 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/01/2022 and conducted by Evaluator Chayntel Hunter
PUBLIC
COMPLAINT CONTROL NUMBER: 53-CC-20220801150833
FACILITY NAME:ROMIEH, ANGELAFACILITY NUMBER:
573621510
ADMINISTRATOR:ROMIEH, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 371-6301
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:14CENSUS: 10DATE:
08/10/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Licensee, Angela RomiehTIME COMPLETED:
12:55 PM
ALLEGATION(S):
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Licensee is not practicing safe sleep regulations
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Chayntel Hunter and Mariya Melnichuk met with Licensee, Angela Romieh to open and close the complaint investigation regarding the above allegation.

During the course of the investigation, LPAs conducted interviews, and obtained information pertaining to allegation. It was alleged that the Licensee is not practicing safe sleep regulations. Upon tour of the facility, LPAs observed a closed door leading to the infant nap room. Licensee opened the door, and LPAs observed an infant asleep in a pack and play with a blanket. The infant woke up during LPAs observation and the Licensee removed the child and the blanket. LPAs discussed safe sleep regulations with the Licensee regarding doors and blankets.

Continues on LIC809-C......

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
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 4
Control Number 53-CC-20220801150833
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: ROMIEH, ANGELA
FACILITY NUMBER: 573621510
VISIT DATE: 08/10/2022
NARRATIVE
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........Continued from LIC-809........(Page 2)

Based on the interviews and LPAs observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Title 22 regulations are being cited on the attached 9099-D page. An exit interview was conducted with the Licensee. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Hunter informed licensee that this report dated 08/10/22 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care. Also, LPA Hunter informed the licensee to provide a copy of this licensing report dated 08/10/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Justin L Denton
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 53-CC-20220801150833
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: ROMIEH, ANGELA
FACILITY NUMBER: 573621510
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/11/2022
Section Cited
CCR
102425(b)
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Infant Safe Sleep 102425 (b) Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by:
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 LPAs discussed safe sleep regulations with Licensee. During LPAs observations, the infant woke up and the Licensee removed the infant and blanket. Licensee will discuss removing blankets for infants with parents. Deficiency cleared during visit.
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LPAs observed an infant asleep with a blanket in a pack and play. Infant woke up during LPA observation and Licensee removed the child and blanket, This is an immediate health and safety risk to children 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: Justin L Denton
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4