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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801098
Report Date: 06/04/2019
Date Signed: 06/04/2019 03:58:19 PM

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 CHILDREN'S CENTERFACILITY NUMBER:
153801098
ADMINISTRATOR:MORENO, MARY ANNFACILITY TYPE:
840
ADDRESS:9903 CAMINO MEDIATELEPHONE:
(661) 665-7790
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:22CENSUS: 11DATE:
06/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Mary Ann MorenoTIME COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Caroline Harris and Jessika Thompson made an unannounced Annual/Random inspection. Met with Director, Mary Ann Moreno. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. The child care center is clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. In combination programs, outdoor activity space provided for school-age children is physically separate from space provided for infant care and child care center children. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, are inaccessible to children. Storage areas for poisons are locked. Furniture and equipment is in good condition, free of sharp, loose or pointed parts. All toilets, hand washing, and bathing facilities are in safe and sanitary operating condition. All floors are clean and safe. Uncontaminated drinking water is readily available both indoors and outdoors. Outdoor activity space surfaces are free of hazards. The areas around or under high climbing equipment, swings, slides and similar equipment are cushioned with material that absorbs a fall. The facility maintains compliance with staff-child ratios. Menus are posted. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There is a separate, complete, and current record maintained for each child enrolled in the child care center. Each child's record contains a medical assessment. There are no excluded individuals present at this facility. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the facility and prevented from returning to the center or having contact with children in care. The licensee shall comply with the notice. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. Staff records contain appropriate, documentation of education credits. At least one person is to be trained in CPR and Pediatric first-aid and shall be present when children are at the facility or at off-site activities. This facility does have one person trained in CPR and first aid.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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 CHILDREN'S CENTER
FACILITY NUMBER: 153801098
VISIT DATE: 06/04/2019
NARRATIVE
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The person, who signs the child in/out, is responsible for the child, and is required to use their full legal signature and records the time of day. Upon review of the sign in/out sheets out of 11 children present, only 7 were signed in. Child's admission agreement is available for review. The department has inspection authority as specified in Health & Safety Codes. The licensee shall not exceed the approved capacity of the fire clearance for the facility. No child(ren) shall be left without the supervision, including visual supervision, of a teacher at all times.
Exit interview was conducted with Licensee.

LPA reviewed with licensee the Mandated Child Abuse Reporter Training, which all staff have completed. LPA also provided the licensee with information on Safe Sleep requirements and reviewed the regulation changes. Information on Lead Poisoning was also provided to the licensee and she was informed that copies need to be provided to all current parents and any future parents of children enrolled along with posting the information on the parent board. LPA informed licensee about the Community Care Licensing website: www.ccld.ca.gov. and discussed with licensee about the new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Updates that inform licensees of new legislation and regulations. Licensee was advised that forms and updated information may be obtained on the CCLD website and was also advised that it is her responsibility to stay current with regulations.

A copy of this report was provided and discussed along with appeal rights. THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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 CHILDREN'S CENTER
FACILITY NUMBER: 153801098
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2019
Section Cited
CCR
101229.1(a)(1)(b)
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In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center. The person who signs the child in/out shall use his/her full
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Licensee to develop a plan encompassing how sign in/out sheets will be monitored by staff. This plan shall include who will be tasked with ensuring parents and/or authorized representatives are signing children in/out and what times of day staff will audit it. Staff to be trained on protocol.
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legal signature and shall record the time of day. Upon review of the sign in/out sheets, 7 out of 11 children were signed in. This could pose a risk to children in care.
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Licensee will also inform parents of the requirements and shall submit the notice to parent along with staff training to the Fresno CCL office by 6/18/19.
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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: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
LIC809 (FAS) - (06/04)
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