191801302-6-14-2021-54-CC-VCOK-C5BTVQ-20210727150419

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191801302
Report Date: 06/09/2021
Date Signed: 06/14/2021 03:09:03 PM

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
04/26/2021 and conducted by Evaluator Jeanette Estrada

COMPLAINT CONTROL NUMBER: 54-CC-20210426123112

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: 8	DATE:	06/09/2021
		UNANNOUNCED	TIME BEGAN:	02:46 PM
MET WITH:	Director Ana Tovalin		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

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Facility is operating out of ratio.
Facility staff are commingling different age groups.

INVESTIGATION FINDINGS:

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THIS IS AN AMENDED REPORT
On 6/9/21 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced complaint inspection to the above facility. LPA met with Ana Tovalin, Director and went over the findings. At the time of arrival there were 8 children present with 2 staff.
During the course of the investigation, LPA conducted staff interviews, parent interviews and obtained additional supporting documents which determined that the allegations above have been substantiated. LPA reviewed documents on 5/18/21 and 6/9/21 which indicated that on 4/21/21 the facility was over ratio by one child between the hours of 6:30AM to 8:00AM. On 4/21/21 there were 5 children present with Staff #3.
Documents also revealed that the facility has allowed commingling between the Licensed components. Approximately 4 children enrolled in the Infant license have been placed in the two-year old classroom. Interviews were conducted which also corroborated the allegations. Based on interviews and review of documents, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. *****CONTINUED ON PAGE 2*****

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021

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-20210426123112

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: 06/09/2021

NARRATIVE

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THIS IS AN AMENDED REPORT
Page 2

2 Type A California Code of Regulations,(Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC 9099D.
The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

Exit interview conducted with the Director Ana Tovalin, during which appeal rights were explained. A copy of the appeal rights (LIC9058 01/16) were provided. The Director’s signature on this report acknowledges receipt of her rights.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20210426123112

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: 06/09/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/09/2021 Section Cited CCR 101416.5	1 2 3 4 5 6 7	THIS IS AN AMENDED REPORT 101416.5(b)&(e)There shall be a ratio of one teacher for every four infants in attendance. & There shall be provision for overlap of staff for different shifts so that continuity of care is assured. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director has hired 2 additional staff whose start date is 6/10/21. Director will submit a written declaration stating enrollment will be put on hold until sufficient staff is hired. Director will submit a new employee schedule to account for all times where staff is needed at full capacity. POC will be submitted by 6/15/21
	8 9 10 11 12 13 14	Based on interviews and records reviewed, the facility was over ratio on 4/21/21 by 1. Staff #3 was present from 6:30AM to 8:00AM with 5 infants which poses an immediate health and safety risk to persons in care.	8 9 10 11 12 13 14
Type A 06/09/2021 Section Cited CCR 101161(a)	1 2 3 4 5 6 7	THIS AMENDED REPORT 101161(a) Limitations on Capacity. A licensee shall not operate a child care center beyond the conditions and limitations specified on the license. This requirement was not met as evidenced by; Based on record reviews and Staff interviews,	1 2 3 4 5 6 7	Director will submit a written declaration stating commingling will stop. POC will be submitted by 6/10/21.
	8 9 10 11 12 13 14	on more than one day during the months of April, May and June 2021 including the visit on 6/9/21, approximately 1-4 infants have been placed in the 2 year old classroom which is part of the preschool license which poses an immediate health&safety risk to persons in care.	8 9 10 11 12 13 14

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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021

LIC9099 (FAS) - (06/04)

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