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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300610695
Report Date: 01/23/2020
Date Signed: 01/24/2020 08:15:39 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
300610695
ADMINISTRATOR:ATLER, KRISTINAFACILITY TYPE:
850
ADDRESS:13881 PROSPECT AVETELEPHONE:
(714) 544-6820
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:103CENSUS: 80DATE:
01/23/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Kristina Atler and Andrea Silva (Assistant Director) TIME COMPLETED:
10:45 AM
NARRATIVE
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The purpose of this visit was to conduct a Case Management Evaluation of the facility. LPA Han met with the director, Kristina Atler, and toured the facility inside and outside. Census was taken in individual classrooms. The overall census observed was 9 preschool staff and 80 preschool children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 12/11/2019, the Licensing Office received a self-report an incident that occurred on 12/10/2019. The facility filed Unusual Incident Report (UIR) stating that a child was discovered alone outside of the classroom. It was reported that the children were out on the play yard, teacher took children to classroom. The teacher did not realize a child was missing until a parent brought a child back to classroom. LPA Han interviewed staff who were present during the incident. LPA Han interviewed director. It was confirmed that a child was left out alone outside for 2-3 minutes without supervision. LPA Han discussed the supervision training with the director.

Based on LPAs interviews which were conducted and report review, the preponderance of evidence standard has been met, therefore it was found that there was a lack of supervision. California Code of Regulations, Title 22, Division, 101229(a)(1) being cited on the attached LIC 809D.

An exit interview was completed with Andrea Silva. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi HanTELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 300610695
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/23/2020
Section Cited

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101229 (a)(1)Responsibility for Providing Care and Supervision(1)No child(ren) shall be left without the supervision of a teacher... in Sections 101216.2(e)(1) and 101230(c)(1).Supervision shall include visual observation.This requirement is not met as evidenced by interview.
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Based on record review and interviews with staff and director, staff left a child alone for 2-3 minutes outside of the classroom without the supervision of a teacher on 12/10/2019. This poses an immediate Health and Safety risk to the children in care.
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parents about the incident verbaly. Director paied staff#1 with co-teacher to ensure staff#1 gets in-depth training.

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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: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi HanTELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2020
LIC809 (FAS) - (06/04)
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