191871812-6-14-2021-54-CC-VCOK-C5BTGF-20210727144300

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191871812
Report Date: 06/14/2021
Date Signed: 06/14/2021 01:31:13 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-20210426124637

FACILITY NAME:	CHILDTIME CHILDREN'S CENTER		FACILITY NUMBER:	191871812
ADMINISTRATOR:	ANA FRAGOSO-TOVALIN		FACILITY TYPE:	850
ADDRESS:	4820 S. EASTERN AVENUE #F		TELEPHONE:	(323) 721-0552
CITY:	COMMERCE	STATE: CA	ZIP CODE:	90040
CAPACITY:	72	CENSUS: 41	DATE:	06/14/2021
		UNANNOUNCED	TIME BEGAN:	11:58 AM
MET WITH:	Director Ana Fragoso-Tovalin		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Day care children were left unsupervised.

INVESTIGATION FINDINGS:

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On 6/14/21 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced 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 41 children with 4 staff present.

LPA reviewed records on 6/10/21 which placed one staff in two classrooms at the same time on 4/21/21 from 12:00PM to 3:30PM. LPA conducted interviews with the Director who stated the documentation was incorrect and there was proper coverage. LPA also conducted staff interviews on 6/9/21 and 6/14/21 which did corroborate the allegation. Per interviews one staff has supervised two classrooms at the same time.

Based on interviews and review of documents, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
2 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	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

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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Control Number 54-CC-20210426124637

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: 06/14/2021

NARRATIVE

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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	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 54-CC-20210426124637

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: 06/14/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/14/2021 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229(a)(1) Responsibility of care and supervision.The licensee shall provide care and supervision as necessary to meet the children's needs.No child(ren) shall be left without the supervision of a teacher at any time. This requirement was not met as evidenced by:Based on record review and Interviews	1 2 3 4 5 6 7	Director will provide a declaration stating staff will be re-trained on properly filling out the face to name sheets. Director will meet with staff individually by 6/17/2.Director will also provide a declaration stating face to name sheets will be reviewed by her during the day.
	8 9 10 11 12 13 14	information obtained revealed that 1 staff was signed into two classrooms at one time and staff have supervised two separate classrooms at the same time during nap time which poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	Declarations were provided at the end of the visit 6/14/21. During interview on 6/14/21 Director also submitted declaration children have never been left unattended.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

LIC9099 (FAS) - (06/04)

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