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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191801302
Report Date: 02/03/2023
Date Signed: 02/03/2023 10:52:17 AM

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
11/04/2022 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20221104090541
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: 11DATE:
02/03/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ana Fragoso, DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility Staff are operating out of Ratio
INVESTIGATION FINDINGS:
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On February 3, 2023 at 9:00am, Licensing Program Analyst (LPA) Dayna Chambers 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. LPA toured the facility with Director at 9:05AM. At the time of arrival there were 11 children present with 2 staff and Director; at the same time another staff member was rotating into the classroom to relieve Director.
During the course of the investigation, LPA conducted 26 interviews with parents and staff. Witness Observations and Statements revealed that the center operates out of ratio at various times during hours of operation. Additional information disclosed by witnesses stated that in order to maintain a daily ratio, children are moved from their assigned classrooms and/or moved to the office. Witnesses also stated that during arrival hours, the children are out of ratio because there is not enough staff coverage which results in comingling. LPA learned through disclosures from witnesses, the center does not consistently maintain enough staff to cover overlap for different shifts during operation hours of 6:30AM and closing time of
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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
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-20221104090541
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: 02/03/2023
NARRATIVE
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6:00PM, Monday through Friday. LPA collected relative documents: attendance log, sign in/sign out sheets, child directory, and face-to-name transition sheets. LPA reviewed and compared information from documents which revealed that classroom operated out of ratio on more than one occasion during November 2022, December 2022, and January 2023.
On 11/03/22 between 7:15am to 9:30am, one staff with 7 infants.
On 11/03/22 between 12:00pm – 2:30pm, one staff taking care of two classrooms with children not napping. Due to the divider between the infant and toddler classroom, 8 children on infant side and 8 children on toddler side with children not napping.
On 11/08/22 at 11:32 am, the infant classroom had two staff and 11 infants; 4 months to 12 months years of age documented on the attendance log.
On 12/05/22 at 6:52am to 8:15am, between 8:00am to 8:06am with Staff#1. At 8:15am there were 16 children ages 2,3, and 4 years old with Staff#1 until 8:15am when children were moved to another location-documented on the Face-To-Name Transition Sheet.
On 12/06/22 at 6:30am until 8:00am, there were 14 children mixed, ages 2, 3 and 4 years old with Staff #3 until 8:00am and then left with staff #1 documented on the Face-To-Name Transition Sheet.
On 12/19/22 at 8:30am, there were 15 children ages 2 and 3 years old with Staff #4. At 10:03am, Child #1, #2, and #3 were moved to the office to maintain ratio documented on the Face-To-Name Transition Sheet.
On 12/19/22 at 8:30am to 8:35am, Staff#4 was with 6 children ages 2 and 3 years old. At 8:36am, 8 more children for a total of 14 children arrived until 9:54am documented on the Face-To-Name Transition Sheet.
On 12/29/22 at 8:30am to 12:30pm, Staff #4 was with 15 children ages 2,3, and 6 years old.
On 01/11/2023 between 7:41am to 7:55am, Staff#1 was with 19 children. Children departed at 8:00am with Staff #5 documented on the Face-to-Name Transition Sheet.
On 01/31/2023 from 8:30am to 9:21am, Staff #4 was with 16 children documented on Face-to-Name Transition Sheet.
On 1/31/2023 from 6:30am to after 8:30am, Staff #3 and Staff # unknown was with 11 children.
On 1/31/2023 after 8:30am, Staff # 5 was with 16 children.
The preponderance of the evidence standard has been met; therefore, the above allegations are found to be Substantiated. California CodeStaff Infant Ratio: 101416.5 (e) There shall be provision for overlap of staff for different shifts, so that “continuity” of care is assured.
A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any
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SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 54-CC-20221104090541
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: 02/03/2023
NARRATIVE
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newly enrolled children for the next 12 months (1 year). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

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.

Exit interview conducted and report was reviewed with the Director, Ana Fragoso Tovalin during which appeal rights were given and explained. A copy of the Appeal Rights was provided. The Licensee’s signature on this report acknowledges receipt of rights.

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SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 54-CC-20221104090541
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: 02/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/13/2023
Section Cited
CCR
101416.5(e)
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Staff Infant Ratio: 101416.5 (e) There shall be provision for overlap of staff for different shifts, so that “continuity” of care is assured.
This requirement is not met as evidenced by:
Based on 26 interviews with staff and parents and record reviews. On 11/03/22 between 7:15am to 9:30am, one staff with 7 infants.
On 11/03/22 between 12:00pm – 2:30pm, one staff taking care of two classrooms with children not napping. Due to the divider between the infant and toddler classroom, 8 children on infant side and 8 children on toddler side with children not napping.
On 11/08/22 at 11:32 am, the infant classroom had two staff and 11 infants; 4 months to 12 months years of age documented on the attendance log.
On 12/05/22 at 6:52am to 8:15am, between 8:00am to 8:06am with Staff#1. At 8:15am there were 16 children ages 2,3, and 4 years old with Staff#1 until 8:15am when children were moved to another location-documented on the Face-To-Name Transition Sheet.
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CCLD Videos for Child Care Center Operators: https://ccld.childcarevideos.org/child-care-center-operators/
1. Teacher-To-Child Ratios in CCC, Supervising Children in CCC, Children’s Personal Rights in CCC, Child Care Reporting Requirements, What is a Civil
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On 12/06/22 at 6:30am until 8:00am, there were 14 children mixed, ages 2, 3 and 4 years old with Staff #3 until 8:00am and then left with staff #1 documented on the Face-To-Name Transition Sheet.
On 12/19/22 at 8:30am, there were 15 children ages 2 and 3 years old with Staff #4. At 10:03am, Child #1, #2, and #3 were moved to the office to maintain ratio documented on the Face-To-Name Transition Sheet.
On 12/19/22 at 8:30am to 8:35am, Staff#4 was with 6 children ages 2 and 3 years old. At 8:36am, 8 more children for a total of 14 children arrived until 9:54am documented on the Face-To-Name Transition Sheet.
On 12/29/22 at 8:30am to 12:30pm, Staff #4 was with 15 children ages 2,3, and 6 years old.
On 01/11/2023 between 7:41am to 7:55am, Staff#1 was with 19 children. Children departed at 8:00am with Staff #5 documented on the Face-to-Name Transition Sheet.
On 01/31/2023 from 8:30am to 9:21am, Staff #4 was with 16 children documented on Face-to-Name Transition Sheet.
On 1/31/2023 from 6:30am to after 8:30am, Staff #3 and Staff # unknown was with 11 children.
On 1/31/2023 after 8:30am, Staff # 5 was with 16 children. Which poses an immediate Health, Safety, or Personal Rights Risk to children in care.
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Penalty; Director and Assistant-watch videos, questions, document provide LPA with the log.
2. LPA provided regulations to read: Staff Infant/ Ratio: 101416.5, Teacher/Child Ratio: 101216.3, Responsibility providing Care for Infants 101429, Activities: 101230
3. Read Early Education and Child Care Regulation Quick Reference Guide
4. Read PIN 20-24-CCP- dated 09/15/20 – Safe Sleep Regulations
5. Read Safe Sleep in CC: Website: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep
6. Proof there is enough staff to cover hours of operation: 6:30am to 6:00pm – Mon. thru Fri following ratio/capacity for both licenses and overlapping times in AM & PM.
7. Provide LPA with a complete – up to date “Child Time – Child Directory” & Proof of Staff to Child Ratios are met
8. Implement Increased Required Visits

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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) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
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