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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371428
Report Date: 12/09/2022
Date Signed: 12/09/2022 01:42:55 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221003153618
FACILITY NAME:MILESTONES ACADEMY CHILDCARE CENTER, INC.FACILITY NUMBER:
304371428
ADMINISTRATOR:GHARAVI, SAEIDEHFACILITY TYPE:
830
ADDRESS:23184 B EL TORO FRONTAGE ROADTELEPHONE:
(949) 588-7000
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:20CENSUS: 9DATE:
12/09/2022
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Saideh Gharavi, DirectorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff are engaging in unsafe feeding practices.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 12/9/22. LPA met with Director Saideh Gharavi, and LPA conducted a tour of the facility and census of children was taken. LPA observed 9 infants in care with 3 infant staff.

During the course of the investigation, LPA interviewed seven staff, several parents, and conducted four separate physical plant inspections of the infant center on 10/13/22, 10/28/22, 11/9/22 and 12/9/22. During these physical plant inspections, LPA made observations of facility, staff, and children. During LPA's observations of the infant classrooms, LPA did not oberve the facility or staff violate any Title 22 Regulations related to the above allegation. Staff were interviewed by LPA on 10/13/22 and during the interviews staff exhibited knowledge of the Title 22 Regulations related to the above allegation and stated they are always within compliance of the discussed Title 22 Regulations. It was determined from these interviews that staff are propping a bottle in an infants mouth when feeding the younger infants, on occasion.
(continued on LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2022 and conducted by Evaluator Dean Valencia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20221003153618

FACILITY NAME:MILESTONES ACADEMY CHILDCARE CENTER, INC.FACILITY NUMBER:
304371428
ADMINISTRATOR:GHARAVI, SAEIDEHFACILITY TYPE:
830
ADDRESS:23184 B EL TORO FRONTAGE ROADTELEPHONE:
(949) 588-7000
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:20CENSUS: 9DATE:
12/09/2022
UNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Saideh GharaviTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Staff use stroller as a restraint device for child in care.
Staff do not provide appropriate sleeping accommodations for children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dean Valencia conducted an unannounced complaint inspection on today's date, 12/9/22. LPA met with Director Saideh Gharavi, and LPA conducted a tour of the facility and census of children was taken. LPA observed 9 infants in care with 3 infant staff.

During the course of the investigation, LPA interviewed seven staff, several parents, and conducted four separate physical plant inspections of the infant center on 10/13/22, 10/28/22, 11/9/22 and 12/9/22. During these physical plant inspections, LPA made observations of facility, staff, and children. During LPA's observations of the infant classrooms, LPA did not oberve the facility or staff violate any Title 22 Regulations related to the above allegations. Staff were interviewed by LPA on 10/13/22 and during the interviews staff exhibited knowledge of the Title 22 Regulations related to the above allegations and stated they are always within compliance of the discussed Title 22 Regulations. A copy of these Title 22 Regulations were provided to the facility for reference.
(continued on LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 06-CC-20221003153618
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MILESTONES ACADEMY CHILDCARE CENTER, INC.
FACILITY NUMBER: 304371428
VISIT DATE: 12/09/2022
NARRATIVE
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(page 2)
Several parents were interviewed on 12/8/22 via phone call. From their interviews, there was nothing stated to support a preponderance of evidence for these allegations.

Based on this gathered information over the course of LPA's investigation the allegations Staff use stroller as a restraint device for child in care, and Staff do not provide appropriate sleeping accommodations for children in care, were not determined to have a preponderance of evidence to support them. In addition to this, LPA was unable to demonstrate that these allegations or that the facility at any point in the past was out of compliance of napping or nap equipment regulations. LPA was unable to make the determination from the information gathered that these allegations did not ever occur, or that there wasn't a preponderance of evidence to support these allegations, at some point. Due to this reasoning the most factual finding on the allegations, with all available information to LPA during the investigation are unsubstantiated. Based on all this information LPA gathered, the preponderance of evidence standard for these allegations was not met, therefore the allegations are found to be unsubstantiated. From all of the available information obtained by LPA during the course of the investigation, that there is insufficient evidence indicating that Staff use stroller as a restraint device for child in care, or Staff do not provide appropriate sleeping accommodations for children in care. Based on all of the information LPA gathered, LPA was not able to determine that these allegations were false or untrue. Therefore LPA cannot make the determination that these allegations are unfounded; and the most accurate findings would remain at unsubstantiated.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. Exit interview was conducted, and report was reviewed and discussed. Notice of Site Visit was posted during the visit. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100 per day. The facility was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 06-CC-20221003153618
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: MILESTONES ACADEMY CHILDCARE CENTER, INC.
FACILITY NUMBER: 304371428
VISIT DATE: 12/09/2022
NARRATIVE
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(page 2)
This practice of propping a bottle in an infants mouth when feeding the infant is unsafe, and not within compliance of Title 22 Regulation 101427(h), specifying that a bottle shall never be propped in an infant's mouth. Several parents were interviewed on 12/8/22 via phone call. From their interviews, there was nothing stated to support a preponderance of evidence for this allegation.

Based on LPA's staff interviews it was determined that on occasion bottles are propped in an infant's mouth. LPA reviewed and provided director with Title 22 Regulations related to Infant Care Food Service. Facility has immediately ceased propping bottles in infants mouths since discussion of these Title 22 Regulations. From this information from staff interviews, the preponderance of evidence to support the allegation Staff are engaging in unsafe feeding practices, is evident and is therefore Substantiated. Based on LPAs interviews the following violation was observed and is being cited in accordance with California Code of Regulations, Title 22 Section 101427(h), is being cited on the attached LIC 9099D.

Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 06-CC-20221003153618
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MILESTONES ACADEMY CHILDCARE CENTER, INC.
FACILITY NUMBER: 304371428
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2022
Section Cited
CCR
101427(h)
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Infants who are unable to hold a bottle shall be held by a staff person or other adult for bottle feeding. At no time shall a bottle be propped for an infant. An infant shall not be allowed to carry a bottle while ambulatory. A bottle given to an infant able to hold his/her own bottle shall be unbreakable.
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The directror stated that since they became aware that the practice of propping a bottle in an infnat's mouth is unsafe and not within compliance, the facility has ceased this practice and always holds a bottle in an infant's mouth when feeding. A written statement will be submitted to LPA confirming this information, by 12/23/22.
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The above was not met as evidenced by: Based on interviews with staff, it was determined that on occasion staff prop bottles in an infnats mouth when feeding them. This is a potential threat to the children's health and safety.
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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: Judy Hanson
LICENSING EVALUATOR NAME: Dean Valencia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5