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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191871812
Report Date: 12/17/2019
Date Signed: 12/17/2019 11:11:59 AM



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
11/12/2019 and conducted by Evaluator Dayna Chambers
COMPLAINT CONTROL NUMBER: 54-CC-20191112161301
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: 12DATE:
12/17/2019
UNANNOUNCEDTIME BEGAN:
10:59 AM
MET WITH:Director Ana FragosoTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Supervision /Facility staff failed to provide adequate supervision to daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced complaint inspection to deliver findings for the above allegation. LPA met with Ana Fragoso who assisted with the inspection. There were 12 preschool children present upon arrival.

During the course of this investigation, LPA interviewed parents and staff. There were no disclosures regarding the above allegations. LPA could not reach the Reporting Party to interview and the child has been withdrawn from the facility since 11/04/2019. The Reporting Party was not present on 10/30/2019 at the facility and during the alleged incident where reporting party stated that staff not aware the child was not present to take a class photo. The Reporting Party also stated that Staicy Perry, Assistant Director, was present at the time. During the interviews, LPA found that Ms. Perry was not present during this incident. In addition, during the investigation, the LPA found that the facility cameras are “live” cameras and the cameras do not record or store video.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
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 2
Control Number 54-CC-20191112161301
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: 12/17/2019
NARRATIVE
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Based on interviews conducted and the information obtained, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegations are unsubstantiated. Exit interview was conducted with Ana Fragoso, Director.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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 was conducted with Ana Fragoso, Director.


SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2