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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191871812
Report Date: 06/09/2021
Date Signed: 06/09/2021 05:12:57 PM



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
04/26/2021 and conducted by Evaluator Jeanette Estrada
COMPLAINT CONTROL NUMBER: 54-CC-20210426143010
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:
04:00 PM
MET WITH:Director Ana Fragoso TovalinTIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Tables on playground are dirty.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/9/21 Licensing Program Analyst (LPA) Jeanette Estrada conducted an uannounced complaint inspection to the above facility. LPA met with Ana Fragoso-Tovalin- Director, and went over the findings. At the time of arrival there were 48 children present with 4 staff.
LPA toured the facility on 5/4/21 and observed children eating indoors, not on playground tables. LPA conducted staff interviews which provided conflicting information. The complainant was not available for interview. 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.
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.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
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)
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