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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418825
Report Date: 09/10/2025
Date Signed: 09/10/2025 12:54:40 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/19/2025 and conducted by Evaluator Elicia Calvillo
COMPLAINT CONTROL NUMBER: 58-CC-20250619160358
FACILITY NAME:A MOTHER GOOSE ACADEMY OF CHATSWORTHFACILITY NUMBER:
197418825
ADMINISTRATOR:MARGULETA, VIKTORIAFACILITY TYPE:
850
ADDRESS:10324 VARIEL AVENUETELEPHONE:
(818) 341-3288
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:54CENSUS: 34DATE:
09/10/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Viktoria Marguleta, DirectorTIME COMPLETED:
10:18 AM
ALLEGATION(S):
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Staff do not follow proper food storage practices
INVESTIGATION FINDINGS:
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On 09/10/2025 at 09:30 AM, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced complaint investigation visit to deliver finding on the above-mentioned allegation. LPA identified self and met Mayra Patraca, Assistant Director who guided analyst on a tour of the inside and outside of the facility. LPA observed 34 Children and 4 additional staff at the facility upon arrival. At 09:50 AM, Viktoria Marguleta, Director, arrived at the facility.

Throughout the course of the investigation, LPA Calvillo conducted interviewed staff, obtained the roster of children, obtained the Personnel Roster, conducted a record review, and obtained other pertinent information.

During today’s visit, LPAs addressed the allegation that staff do not follow proper food storage practices.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
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 3
Control Number 58-CC-20250619160358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: A MOTHER GOOSE ACADEMY OF CHATSWORTH
FACILITY NUMBER: 197418825
VISIT DATE: 09/10/2025
NARRATIVE
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During an interview with the Director, it was disclosed that the staff responsible for the food storage and food preparation follow the USDA Food Safety and Inspection Services recommendations.

During interviews with staff, Staff #1 disclosed that there have been two (2) occasions when frozen raw meat has been left on the kitchen counter to thaw overnight.

Staff #2 disclosed that the facility leaves frozen raw meat (whole chicken, chopped up chicken, hamburger meat, etc.) on the kitchen counter overnight to thaw. The facility will take out the meat from the freezer around 04:00PM and 04:30PM and it will be on the counter until the next morning at 07:30AM, for approximately 15 hours.

During interviews with parents, there were no disclosures made regarding the allegations.

There were no children interviews conducted due to the kitchen area is not accessible to children during the facility hours of care.

Based on LPA’s observations, interviews conducted where Staff #1 and Staff #2 observed that frozen raw meat was left on the kitchen counter to thaw overnight, documents obtained, record review, and 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 3, Section number 101227(a) (1) Food Services and a plan of correction is due 09/24/2025, a Type B Citation is being cited on the attached deficiency page.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Viktoria Marguleta, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20250619160358
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: A MOTHER GOOSE ACADEMY OF CHATSWORTH
FACILITY NUMBER: 197418825
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/24/2025
Section Cited
CCR
101227(a)(1)
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101227 Food Services (a) In child care centers providing meals to children, the following shall apply:(1) All food shall be safe...All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by
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Per Director, they will have staff obtained a food safety certificate of completion by the plan of correction due date 09/24/2025 and email LPA a copy.
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Based on observations, interviews, and record reviews that the investigations revealed that frozen meat had been left overnight to thaw on the kitchen counter which poses a potential health, safety, and personal rights 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: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2025
LIC9099 (FAS) - (06/04)
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