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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191801302
Report Date: 01/18/2022
Date Signed: 05/03/2022 01:25:17 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
10/18/2021 and conducted by Evaluator Jeanette Estrada
COMPLAINT CONTROL NUMBER: 54-CC-20211018115248
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: 2DATE:
01/18/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Director Ana FragosoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Facility operating out of ratio.
Daycare child bit by another daycare child.
Staff misplaced daycare child’s belongings.
INVESTIGATION FINDINGS:
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THIS IS AN AMENDED REPORT TO DOWNGRADE THE CITATION FROM A TYPE A TO A TYPE B
On 1/18/2022 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced complaint inspection to the above facility for the purpose of delivering findings for the allegations above. LPA met with Ana Fragoso-Tovalin, Director. At the time of arrival there were 2 children present with 3 staff.
During the course of the investigation, LPA reviewed Face to Name transition sheets and sign in/out sheets, conducted interviews with staff and parents and reviewed pertinent documents which revealed that the infant classroom has been out of ratio on more than one occasion, a child was bitten by another child and a child’s belongings were misplaced. LPA reviewed the electronic sign in document which showed that on 10/18/21 Child 1 is signed in by their parent at 9:17 AM. After reviewing the face to name transition sheet, LPA found that only Staff 1 is documented with 4 children between 9:17AM and 9:30AM. Although Child 1 was signed into the facility at 9:17AM, Child 1 is not documented on the Face to Name sheet until 9:31 AM. Child 1 was enrolled in the infant classroom at this time.
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
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 54-CC-20211018115248
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: 01/18/2022
NARRATIVE
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THIS IS AN AMENDED REPORT TO DOWNGRADE THE CITATION FROM A TYPE A TO A TYPE B
Page 2 of 2
On 11/5/21 Staff 1 is documented alone with 7 children for 2 minutes from 8:28AM to 8:30AM. On 11/16/21 Staff 1 is alone with 5 children for 10 minutes from 9:00AM to 9:10AM. Staff interviews also corroborated the allegation regarding the classroom being out of ratio.
LPA reviewed incident reports. Child 1 had one recorded incident of biting another child. The report was signed by the staff who witnessed the incident and Child 1’s parent. Per staff, when a child bites, staff speak to the child and explain that teeth are for biting food, they redirect the child, they offer the child teething materials, offer other stimulating activities and if the behavior continues a behavior plan is created to help the child. The child that is bitten is also assisted by the staff. They will inspect the wounded area, clean it and provide first aid as needed. A report will also be provided to the parents.

It was also reported that the facility has misplaced children’s belongings and sends home incorrect items. Per Staff interviews, Staff follow a procedure of placing the children’s items in their cubbies and handing the items to the parents upon pick-up. LPA observed the cubbies used for children’s items. Per the interviews conducted, these incidents have occurred occasionally, and they have been resolved by either locating the correct item or replacing the item.

Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations (CCR), Title 22 101416.5(b) Staff-Infant Ratio, is being cited as a type B on the attached LIC 9099-D. Two Advisory Notes-Technical Violations are being issued for CCR Title 22 101238.4(a) Storage Space and 101233(a)(1) Personal Rights.


The notice of site visit was posted where the parent/guardian of children enter and exit the facility.

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 rights.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/18/2021 and conducted by Evaluator Jeanette Estrada
COMPLAINT CONTROL NUMBER: 54-CC-20211018115248

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: 2DATE:
01/18/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Director Ana FragosoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child hit by another daycare child resulting in bruising.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/18/22 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced complaint inspection to the above facility for the purpose of delivering findings for the allegation above. LPA met with Ana Fragoso-Tovalin, Director. At the time of arrival there were 2 children present with 3 staff.
During the investigation LPA reviewed records and interviewed staff. One incident report was available in which a similar situation was recorded for Child 1 but there was no record of a bruise. LPA interviewed staff who stated that an incident has occurred where a child has hit another child. However, staff interviews did not corroborate an observation of a bruise. Child 1’s parent was not available for interview.
Although it was confirmed that an incident did occur with Child 1 there was no evidence that the incident resulted in a bruise. Therefore, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.
Page 1 of 1
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 54-CC-20211018115248
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: 01/18/2022
NARRATIVE
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page 2 of 2
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director, Ana Fragoso-Tovalin including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 54-CC-20211018115248
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: 01/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
01/19/2022
Section Cited
CCR
101416.5(b)
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Staff-infant ratio 101416.5(b) There shall be a ratio of one teacher for every four infants in attendance.
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Per Director staff have been retrained on how to properly fill out the face to name sheets to account for proper ratios.12 out of 12 teachers were re-trained on 12/8/21. Director provided LPA proof of attendance to training on 1/18/22.
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This requirement was not met as evidenced by: based on staff interviews and record review the licensee did not ensure that the infant classroom was within ratio on 3 out of 3 days which poses a potential risk to 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: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5