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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191871812
Report Date: 06/09/2021
Date Signed: 06/14/2021 03:36:17 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
04/20/2021 and conducted by Evaluator Jeanette Estrada
COMPLAINT CONTROL NUMBER: 54-CC-20210420140748
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
191871812
ADMINISTRATOR:ANA FRAGOSO-TOVALINFACILITY TYPE:
850
ADDRESS:4820 S. EASTERN AVENUE #FTELEPHONE:
(323) 721-0552
CITY:COMMERCESTATE: CAZIP CODE:
90040
CAPACITY:72CENSUS: 48DATE:
06/09/2021
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Director Ana TovalinTIME COMPLETED:
02:46 PM
ALLEGATION(S):
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Facility is operating out of ratio.
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 48 children present with 4 staff.
During the course of the investigation, LPA conducted staff interviews and parent interviews. Additional supporting documents were also obtained which determined that the allegations above have been substantiated. LPA reviewed documents on 5/18 and 6/9/21 which indicated that on 4/20/21 & 4/21/21 the facility was over ratio. Records show that 18 children were present on 4/20/21 and 16 children were present on 4/21/21 with one staff between the hours of 6:30AM to 8:00AM. Based on interviews and review of documents, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
One Type A, California Code of Regulations (Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC 9099D
****Continued on page 2 ****
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Jeanette Estrada
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)
Page: 1 of 3
Control Number 54-CC-20210420140748
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 CHILDREN'S CENTER
FACILITY NUMBER: 191871812
VISIT DATE: 06/09/2021
NARRATIVE
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THIS IS AN AMENDED REPORT
PAGE 2
Type A (POSTING OF NOTICE OF SITE VISIT)

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
LICENSING EVALUATOR NAME: Jeanette Estrada
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)
Page: 2 of 3
Control Number 54-CC-20210420140748
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 CHILDREN'S CENTER
FACILITY NUMBER: 191871812
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2021
Section Cited
CCR
101216.3(a)
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THIS IS AN AMENDED REPORT
101216.3(a)Teacher-child ratio.There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement was not met as evidenced by; Based on interviews and records reviewed, the facility was over on more than one occasion.
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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.
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On 4/20/21 there were 18 preschool children present with one staff and on 4/21/21 there were 16 children present with one staff which poses an immediate health and safety risk to persons 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: Brandi VanOosten
LICENSING EVALUATOR NAME: Jeanette Estrada
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)
Page: 3 of 3