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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191801302
Report Date: 06/08/2023
Date Signed: 06/08/2023 03:49:29 PM


Document Has Been Signed on 06/08/2023 03:49 PM - It Cannot Be Edited

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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:CHILDTIME CHILDRENS'S CENTERFACILITY NUMBER:
191801302
ADMINISTRATOR:ANA FRAGOSO-TOVALINFACILITY TYPE:
830
ADDRESS:4820 S. EASTERN AVE. SUITE #FTELEPHONE:
(323) 721-0552
CITY:LOS ANGELESSTATE: CAZIP CODE:
90040
CAPACITY:24CENSUS: 8DATE:
06/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Ana Fragosa-Tovalin TIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPAs) Warren Birks and Angelica Wallin conducted a Case Management inspection to clear citations from a previous inspection. LPAs met with Director Ana Fragosa-Tovalin who provided LPAs with a tour of the facility.

At approximately 3:12pm LPAs observed the infant classroom with two teachers caring for eight infants. The class is within ratio according to Title 22 regulations. LPAs also received documentation indicating that the facility hired two teachers to handle infant care capacity. Therefore the ratio citation is now cleared.

LPA informed Director to ensure that the facility continues to stay in compliance in regards to ratio. LPA also provided a Capacity Regulation form indicating ratios for the infant class. There were no Tittle 22 citations issued at this time.

Exit interview was conducted with Director Fragosa-Tovalin. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as will result in a $100 civil penalty.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/08/2023
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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