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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191594162
Report Date: 01/29/2025
Date Signed: 02/10/2025 03:59:57 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/22/2025 and conducted by Evaluator Monique Jessica Ayala
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250122112621
FACILITY NAME:ALMANSOR CENTER (THE)FACILITY NUMBER:
191594162
ADMINISTRATOR:DIANE CONNELLFACILITY TYPE:
850
ADDRESS:1955 FREMONT AVENUETELEPHONE:
(323) 341-7768
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY:60CENSUS: DATE:
01/29/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Angela Buck, DirectorTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Lack of Supervision: Staff do not properly supervise daycare children
INVESTIGATION FINDINGS:
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**This is an Amended Report created by LPA Monique Ayala on 02/10/2025**

On January 29, 2025, Licensing Program Analysts (LPAs) Monique Ayala and Mariah Aguirre conducted an unannounced complaint investigation for the above allegation. LPAs met with director, Angela Buck who guided LPAs on a tour of the facility. LPAs observed 44 children in care with 6 staff.

During the investigation LPAs obtained a copy of the children's roster, interviewed Child #1 (C1) to Child #3 (C3), Staff #1 (S1) to Staff #4 (S4) and interviewed Parent #1 (P1) to Parent #2 (P2). LPAs were unable to interview the Reporting Party (RP), as RP is anonymous.

RP alleged, "Staff do not properly supervise daycare children". Per RP in Novemerb 2024, " the teachers do not want to take them to the bathroom, and the children go to the bathroom by themselves now". Based on interviews with S1, S1 stated that they have observed children go to the restroom alone but has never let children go alone to the restroom. Per S1, takes the chidrent to the restroom but if S1 is the only staff
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
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 5
Control Number 33-CC-20250122112621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALMANSOR CENTER (THE)
FACILITY NUMBER: 191594162
VISIT DATE: 01/29/2025
NARRATIVE
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 in the classroom, S1 places on foot inside of the restroom and one foot outside of the restroom. Per S1, this method is done to ensure children are being supervised. Per C2-C3 they stated they go to the restroom alone and inform S1 that they have to go to the restroom. LPAs asked C2-C3 if staff are supervising them while in the restroom, C2 stated, "all of my friends go by themselves" and C3 stated, "I go by myself". LPA interviewed P1 and P2, who did not corroborate with the allegation. Per P1 and P2, there are no concerns about the facility.

Based on interviews conducted the above the above allegations is deemed SUBSTANTIATED. During interviews it was disclosed by S1, C2 and C3 that children are unsupervised when going to the restroom. A finding of Substantiated means that the preponderance of evidence standard has been met. The facility is being cited a Type B deficiency in accordance with Title 22 Regulations, see LIC9099D.

An exit interview was conducted and a copy of this report was provided to director, Angela Buck along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20250122112621
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALMANSOR CENTER (THE)
FACILITY NUMBER: 191594162
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/29/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement was not met as
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Director has provided staff members with a memo indicating new bathroom supervision procedures. LPAs obtained a copy of the procedures.
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evidence by: Based on interviews it was disclosed by S1, C2 and C3 that children are going to the restroom unsupervised. This poses a potential 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: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5