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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334814893
Report Date: 09/13/2021
Date Signed: 09/13/2021 02:36:54 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, 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
09/08/2021 and conducted by Evaluator Ana Noble
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210908121823
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: 141DATE:
09/13/2021
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Angel AntonTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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Personal Rights-Facility staff do not wear a mask and do not encourage daycare children to wear a mask.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Ana Noble and Sumayya Habeebulla arrived at this facility and met with Angel Anton, Director. LPAs informed Ms. Anton of the purpose of the visit, which was to conduct an investigation into the above allegation. LPAs toured, took census and interviewed staff and Ms. Anton.

It is alleged that the facility staff do not wear a mask and do not encourage daycare children to wear a mask. Based on LPAs observation during the tour of the pre-school classroom, LPAs observed no children wearing face coverings, all staff observed in all the classroom were wearing face covering durint this visit. In addition, information obtained revealed that the face covering for staff have been on and off. Prior to this visit, on 9/13/2021, approximately 3-4 weeks face covering were not being enforced for staff. During the tour and census of the facility LPAs observed a total of 141 children present, a few were wearing face coverings however the majority were with out any face mask/coverings. LPAs also observed parents entering the facility with out face coverings, during drop off and pick up. Information was also learned that if the parent do not send the children with face coverings/mask, the staff are not providing or encouraging the children to wear the face coverings/mask.
See LIC 9099C for continuance of this report.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
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 10-CC-20210908121823
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: 09/13/2021
NARRATIVE
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This agency has investigated the allegation of Personal Rights-Facility staff do not wear a mask and do not encourage daycare children to wear a mask.

The preponderance of evidence standard has been met, and therefore, the above allegation is found to be substantiated.

An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Ms. Anton on this date. A copy of this report must be made available to the public upon request for three years.

A NOTICE OF SITE VISIT WAS ISSUED AND LPAs 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.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210908121823
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/20/2021
Section Cited
CCR
101223(a)(2)
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Personal Rights - (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by On 9/13/2021 LPAs observed a total of 141 children only a few
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Mrs. Anton, DIrector agrees to stay in compliance with requirements set forth by the California Department of Public Health and provide a letter to staff and parents, parents currently enrolled and future enrollees, that informs them of the facility’s approach to masking of staff and children in accordance with CDPH submit to Dept. by 9/20/2021.
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were wearing a mask in the preschool classroom however the majority were not wearing any face coverings, and are not being encouraged or provided with face coverings/mask. Additionally, information obtained revealed that prior to 9/13/2021, face coverings were not being enforced for staff, until approximately 3-4 >>>>>>>>>>>>
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>>weeks ago. This is a potential risk to the health and safety of children in care due to possible exposure to COVID19.
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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: Pauline Beschorner
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3