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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334814893
Report Date: 01/27/2022
Date Signed: 01/27/2022 02:21:48 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/03/2022 and conducted by Evaluator Andrea Taylor
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220103135458
FACILITY NAME:ABC CHILD CARE VILLAGEFACILITY NUMBER:
334814893
ADMINISTRATOR:MALINDA J. MARGIOTTAFACILITY TYPE:
850
ADDRESS:40045 VILLAGE ROADTELEPHONE:
(951) 491-0940
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:216CENSUS: 111DATE:
01/27/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Angel Anton-DirectorTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff are not preventing the spread of Covid-Children are not wearing their masks
INVESTIGATION FINDINGS:
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On the date and time listed, Licensing Program Analysts (LPAs) Andrea Taylor and Anastatia Flores arrived at the facility for purpose of continuing a complaint investigation regarding the above-mentioned allegation. LPAs Taylor and Flores met with the Director, Angel Anton and informed Ms. Anton of the purpose for the visit.

On 1/5/22 LPA N. King conducted an initial 10 day inspection. LPA N. King observed all staff wearing face coverings. LPA N. King observed only one child wearing a face covering. LPA N. King provided the current update information from the CDC to Ms. Anton during the inspection on 1/5/22.

During this visit, LPAs Taylor and Flores toured the facility and took census. LPAs Taylor and Flores observed that during this time, the center was operating within ratio and noted that the classrooms were adequately staffed.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022
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 2
Control Number 10-CC-20220103135458
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: ABC CHILD CARE VILLAGE
FACILITY NUMBER: 334814893
VISIT DATE: 01/27/2022
NARRATIVE
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LPAs Taylor and Flores observed all staff wearing face coverings during today’s inspection. LPAs Taylor and Flores observed all children wearing face coverings. LPAs observed face coverings are accessible to children in their cubbies and staff encouraging the children to wear the face coverings. The school has recently started encouraging the children to wear masks with imagination play everyday.

Based on LPA’s observation, interviews with 12 Staff the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
A Technical Violation (LIC9102) is being issued due to school not encouraging the children to wear the facial coverings as required by CDC for preventing the spread of COVID.

An exit interview was conducted, appeal rights were discussed, and a copy of this report was provided to Ms. Anton on this date.
A Notice of Site Visit was issued, and LPAs Taylor and Flores verified that it was posted in a prominent location at the facility before leaving. The Licensee understands that it must remain posted for the next 30 days.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2