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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005523
Report Date: 03/23/2022
Date Signed: 03/23/2022 12:57:46 PM


Document Has Been Signed on 03/23/2022 12:57 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 CENTER-INFANT PROGRAMFACILITY NUMBER:
198005523
ADMINISTRATOR:KARINA GONZALEZFACILITY TYPE:
830
ADDRESS:ONE WORLD TRADE CENTER, STE199TELEPHONE:
(562) 437-7498
CITY:LONG BEACHSTATE: CAZIP CODE:
90831
CAPACITY:38CENSUS: 11DATE:
03/23/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:32 PM
MET WITH:Karina GonzalezTIME COMPLETED:
01:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Raul Navarro arrived at the above licensed facility to conduct an unannounced Case Management Incident. The Monterey Park South West Child Care Regional Office received the incident report on 3/14/2022 regarding a child sustaining a seizure while in care, requiring medical attention. Upon arrival, LPA observed proper care and supervision. LPA met with Karina Gonzalez, Director.

LPA completed staff and children files reviewed. LPA obtained personnel report and children record. Based on the information that was gathered through interviews with staff and other, the facility had been providing ongoing to support to staff and children regarding care and supervision. Parents were notified in a timely manner. According to the available information, it does not appear this incident was the result of the Title 22 violation for lack of care and supervision.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, Karina Gonzalez.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:
DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/23/2022
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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