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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343609289
Report Date: 02/23/2022
Date Signed: 02/23/2022 04:00:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/09/2021 and conducted by Evaluator Karyn Guerra
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20211209100931
FACILITY NAME:ANGELS IN ACTION LEARNING CENTERFACILITY NUMBER:
343609289
ADMINISTRATOR:MADDY, ELIZABETHFACILITY TYPE:
850
ADDRESS:7998 OLD AUBURN RD.TELEPHONE:
(916) 723-2633
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:72CENSUS: 32DATE:
02/23/2022
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Elizabeth MaddyTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff are giving daycare children melatonin everyday before nap time without parents' consent
INVESTIGATION FINDINGS:
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At 1:50 p.m. on Wednesday, February 23rd, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Licensee, Elizabeth Maddy, to conduct a complaint inspection and deliver findings. It was alleged that staff are giving daycare children melatonin everyday before nap time without parent's consent. Throughout the course of the investigation, LPA conducted interviews, made observations, and obtained documents. LPA came to learn that C1 and C2 are given melatonin as a sleep aid. LPA observed signed medication forms from parents/guardians authroizing the melatonin to be administered to C1 and C2. Parental Authorization was confirmed by LPA via parent interviews. Staff signed off on the medication forms each day when the dose was administered to C1 and C2. Interviews with staff, children, and parents were consistent that C1 and C2 receive melatonin and did not reveal concerns that other children were receiving it without authorization. The evidence did not corroborate the allegation. The allegation is found to be

report continued on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
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 03-CC-20211209100931
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: ANGELS IN ACTION LEARNING CENTER
FACILITY NUMBER: 343609289
VISIT DATE: 02/23/2022
NARRATIVE
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unsubstantiated. Although the alleged violation may have happened or is valid, there was not a preponderance of evidence to fully prove or disprove that it did or did not occur, therefore, it is unsubstantiated. An exit interview was conducted and a notice of site visit provided. Notice of site visit shall remain posted for 30 days for parental review. No citations were issued during today's inspection.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2