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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191597334
Report Date: 06/28/2019
Date Signed: 06/28/2019 10:51:41 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/14/2019 and conducted by Evaluator Ariel Almazan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190514085128
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
191597334
ADMINISTRATOR:PAM DEEMFACILITY TYPE:
850
ADDRESS:1418 SOUTH VEGATELEPHONE:
(626) 289-3823
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:82CENSUS: 63DATE:
06/28/2019
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Pam DeemTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Reporting Requirements: Facility staff failed to notify child's authorized representative of illness.
Neglect/Lack of Supervision: Child was left unsupervised in the classroom.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Ariel Cazares and Dayna Chambers conducted an unannounced complaint inspection on this date. LPAs met with Director Pam Deem and toured the facility. LPAs observed a total of 63 preschool childrenand 6 staff total.

LPA conducted and concluded an investigation into the above allegations. LPA conducted interviews with the complainant, facility staff, and additional individuals. LPA reviewed records and obtained copies of relevant documentation.


Per the complainant, on 5/10/19, child #1 came down with a fever and facility failed to contact the parent. Parent was not notified until they arrived to pick up child #1 from the facility. Per complainant, there was no contact made to the parent prior to arriving at the facility. Per complainant, child #1 was noted as having a fever of 102 degrees. (Continued onto 9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019
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
Control Number 33-CC-20190514085128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 191597334
VISIT DATE: 06/28/2019
NARRATIVE
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Complainant stated child #1's temperature was measured again at 105 degrees prompting the child to be taken to the hospital. Complainant described the child as appearing red and drooling. Per complainant, an incident was witnessed where child #2 was observed alone without any staff or teacher supervision. Complainant stated that they and one other individual observed this incident with child #2, while Staff #1 and Staff #2 were outside with the remaining children. LPA conducted interviews with facility staff and director. Per director, she confirmed a case of fever for child #1. Per director, the parent was notified upon pick up of the child. Per director, this occurred around the end of the day when pick up of children occurs and therefore upon confirmation of the child having a fever.

LPA reviewed children's records and found that there were 3 cases of fever for 5/10/19. LPA confirmed that child #1 was one of the children among the 3 cases for that date. Based on child #1's record review there was an incident report documenting the fever, which notes a fever of 104 was measured. LPA observed that there was no notation that the parent was contacted nor notified. Based on the time noted on the incident report (5:30pm) and the time the child was picked up as noted on the sign out sheet (5:51pm), there was a total of 21 minutes where the child's parent was not contacted and notified of the illness. Per the facility's enrollment agreement, pg. 32 of the family handbook, and the Guidelines for Management of Illness that is provided to parents, fever of 100 degrees or more warrants a contact to be to the parent/guardian in order to pick up child. Based on the interviews and documentation reviewed, the facility failed to make contact with and notify the parent when child #1 was confirmed to have a fever of over 100 degrees.

LPA conducted interviews with facility staff. Disclosures made by Staff #1 and Staff 2 corroborate the allegation that child #2 was left unsupervised in the classroom. Per Staff #1 & 2, the child was left in the classroom as they were transitioning outside with the remaining children. Both staff were unable to explain how the child was left behind, mentioning that child #2 likes to hide. LPA interviewed individual #1, who witnessed the incident. Per individual #1, upon entering the classroom with another individual, child #2 was observed inside alone. Individual #1 confirmed there were no other staff or adults supervising the child. Individual #1 stated that they informed the staff, who was outside with children, that child #2 was inside the classroom alone. Per individual #1, staff returned to classroom to retrieve child and have them join the rest of the class outside. LPA was unable to determine the length of time the child was alone, but was able to establish that when witnesses observed child #2, there were no other staff or adults in the classroom.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20190514085128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 191597334
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/01/2019
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision

No child(ren) shall be left without ;/the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Per Director, staff will be retrained on how to keep track of children, ensuring tools in place are continually used. Director will submit attendance sheets and meeting notes showing how supervision was addressed. This will be submitted by POC due date of 7/1/19.
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This requirement has not been met as evidenced by LPA's investigation into the allegation determining that child #2 was left unsupervised in their classroom without a staff or other adult present. This poses an immediate risk to the health and safety 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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20190514085128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 191597334
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/01/2019
Section Cited
CCR
101212(f)
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Reporting Requirements
The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

This requirement has not been met as evidenced by LPA's investigation into the allegation determining that child #1 became
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Per Director, will make sure she is contacting parents right away at all times. This is the facility policy and she will continue to follow. A written statement will be submitted by POC due date of 7/1/19.
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ill in the facility and that parent was not contacted nor notified until the child was picked up from care. This poses a potential risk to the health and safety 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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 33-CC-20190514085128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 191597334
VISIT DATE: 06/28/2019
NARRATIVE
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Based on LPA’s interviews which were conducted and records review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Section 101212 & 101229 are being cited on the attached LIC 9099D.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. This report must remain on file for three (3) years. This report must be posted for 30 days in clear view, at the entrance of Childtime Children's Center.

Exit interview conducted and a copy of this report was left with licensee Ms. Hewey Dewey. Appeal rights provided and explained. A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 5