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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597334
Report Date: 06/17/2021
Date Signed: 06/17/2021 02:05:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
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 CENTERFACILITY NUMBER:
191597334
ADMINISTRATOR:PAM DEEMFACILITY TYPE:
850
ADDRESS:1418 SOUTH VEGATELEPHONE:
(626) 289-3823
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:82CENSUS: 52DATE:
06/17/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Pam Deem TIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Pam Deem.

The purpose of this inspection was to obtain additional information regarding an incident report submitted to the regional office on 06/10/2011.

The incident report stated that Child#1 sustained an injury during outside play time at the facility. The incident reported stated that on 06/10/2011 the child in care (Child#1) had small splinters in her finger that was observed by the parent later that day.

During the inspection, LPA Lee inspected the outside play area where Child#1 sustained the injury. LPA Lee did observe that the wood chips on a portion of the ground of the play space. LPA Lee also observed a bench that was placed around a tree in the outside play area.

At this time, LPA Lee did not observe anything in the play area that was not compliant with Child Care Center regulations.

Exit interview conducted with Director Pam Deem. Appeal Rights discussed and explained.

The notice of site inspection must remain posted for 30 days during hours of operation. Failure to maintain notice will result of a civil penalty of $100.00 dollars.


SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
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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