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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100407139
Report Date: 11/01/2021
Date Signed: 11/01/2021 11:20:21 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDTIME CHILDCARE, INC.FACILITY NUMBER:
100407139
ADMINISTRATOR:DIAZ, KRISTINAFACILITY TYPE:
830
ADDRESS:2091 SIERRA AVETELEPHONE:
(559) 297-5013
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:32CENSUS: 15DATE:
11/01/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Director - Kristina DiazTIME COMPLETED:
11:30 AM
NARRATIVE
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On 11/01/2021, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced complaint inspection. LPA met with Director Kristina Diaz, toured the facility, and took a census. The purpose of today’s inspection was to address a deficiency that was observed during the course of a complaint investigation.

Interviews conducted with Witness 1 during the course of the complaint investigation revealed Witness 1 observing infants laying on the tile in the classroom. On 08/20/2021, LPA entered the infant classroom and observed upon walking in, one child was on their stomach on the tiled area of the classroom floor on the left side of the room. Staff 1 picked up the infant shortly after. LPA observed three infants were on the carpet on the right side of the classroom and two infants were asleep in the crib area and were supervised by Staff 2. Prior to exiting the classroom, LPA observed another infant on the tiled area on their back and when the infant rolled over, LPA observed a small red mark on the back of the infant’s head, which may have resulted from prolonged contact from the tiled hard surface.

On 08/20/2021, LPA interviewed Staff 1 and Staff 2. Staff 1 stated during the interview that sometimes the infants go on the tiled area of the classroom floor. Staff 2 stated that some of the infants roll over onto the tiled area and staff try to move them back to the carpeted area. Staff 2 further stated that staff will usually place toys near the infants in the carpeted area to keep their attention on those toys so they would not roll off the carpeted area.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency is being cited on the attached LIC 9099-D.

An exit interview conducted with Director Kristina Diaz. A copy of this report and Appeal Rights were provided and discussed with Director. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CHILDTIME CHILDCARE, INC.
FACILITY NUMBER: 100407139
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/01/2021
Section Cited

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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:
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Based on observations and interviews, facility staff failed to provide safe and comfortable accommodations by allowing infants to remain on the hard, tiled classroom floor on their backs or stomachs, which poses a potential risk to the health, safety, or personal rights of 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.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2021
LIC809 (FAS) - (06/04)
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