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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191871812
Report Date: 09/14/2021
Date Signed: 09/14/2021 02:18:40 PM

Document Has Been Signed on 09/14/2021 02:18 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 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: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 28DATE:
09/14/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:46 AM
MET WITH:Director-Ana Fragoso TovalinTIME COMPLETED:
11:46 AM
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On 9/14/21 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced inspection at the facility for a Case Management regarding Implementation of Covid 19 guidance . LPA met with Director Ana Fragoso Tovalin. There were 28 children with 4 staff present.

LPA conducted a follow up on implementation of Covid 19 guidance. LPA and Director discussed how recommendations are being practiced at the center. Per Director guidance is being followed and Staff have been trained on Covid 19 prevention, symptoms and transmissions. LPA observed various posters with information regarding Covid 19. LPA observed children wearing masks and staff wearing masks. LPA observed Director conducting health screenings prior to staff and parent entrance. Per Director, they are following health department guidance on quarantine and closures when needed.

No deficiencies were cited today. Exit interview was conducted with Director Ana Fragoso-Tovalin. 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. The Notice of Site Visit (LIC 9213) and the Appeal Rights were given and explained to the Facility Representative.
Valarie Cook
Jeanette Estrada
DATE: 09/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2021
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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