191801302-4-21-2023-54-CC-KCHS-CS4SZP-20230523141927

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191801302
Report Date: 04/21/2023
Date Signed: 04/21/2023 03:01:56 PM

Substantiated

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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/10/2023 and conducted by Evaluator Warren Birks

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20230410143152

FACILITY NAME:	CHILDTIME CHILDRENS'S CENTER		FACILITY NUMBER:	191801302
ADMINISTRATOR:	ANA FRAGOSO-TOVALIN		FACILITY TYPE:	830
ADDRESS:	4820 S. EASTERN AVE. SUITE #F		TELEPHONE:	(323) 721-0552
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90040
CAPACITY:	24	CENSUS: 16	DATE:	04/21/2023
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Ana Fragoso		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Facility operated out of ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegation. LPA initially met with Teacher Brenda A. and later Director Ana Fragoso who assisted with the investigation. LPA observed one infant teacher caring for four infants in the infant class.

During the course of the investigation, LPA interviewed five staff, reviewed an April Face to Name transition sheet and reviewed April 2023 sign in sheets. LPA also observed Infant Room livestream footage from April 13,2023. Based on video, LPA observed on at least two occassions: One staff caring for eight infants and two staff caring for 10 infants. In addition, LPA received staff disclosure that the infant room has been out of ratio in the month of April 2023. LPA informed the Director that the facility is cited with being out of ratio (Four Infants to One Teacher according to Title 22 regulations).

Based on staff disclosure and livestream video evidence, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20230410143152

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDTIME CHILDRENS'S CENTER	FACILITY NUMBER: 191801302
	VISIT DATE: 04/21/2023

NARRATIVE

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A copy of this report must be provided to the parent or guardian of every child and (including any newly enrolled children) for the next 12 months. The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent/guardian). Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) form.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Director Ana Fragoso.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 54-CC-20230410143152

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDTIME CHILDRENS'S CENTER	FACILITY NUMBER: 191801302
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/21/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/22/2023 Section Cited CCR 101416.5(b)	1 2 3 4 5 6 7	Staff-Infant Ratio:(b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by:LPA observed 4/13/2023 video indicating that the infant room was out of ratio on at	1 2 3 4 5 6 7	Director Fragoso indicated that she will stop enrollment and hire staff. One staff is already in the process of being hired. Director will provide evidence of hiring to LPA Birks.
	8 9 10 11 12 13 14	least two occasions: One staff to eight infants and Two staff to 10 infants. LPA also received staff disclosure that the infant room was out of ratio in the month of April. This is an immediate risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC9099 (FAS) - (06/04)

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