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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300610695
Report Date: 03/09/2023
Date Signed: 03/23/2023 01:49:58 PM


Document Has Been Signed on 03/23/2023 01:49 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/17/2023 12:57 PM

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

NARRATIVE
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***This is an amended report to a report generated on 03/09/23***
On 03/09/2023, Licensing Program Analyst (LPA) Romy Castanon conducted a Case Management due to deficiencies observed during today's inspection. LPA briefly met with Director Andrea Silva who was in the infant classroom and explained the reason for today’s visit. During a self guided tour, Assistant Director Aimee Valentin escorted LPA. A tour of eight (8) individual classrooms was conducted and census was taken. Observed at the time of the visit was a total of 66 children and 7 staff members. One classroom was unoccupied.

A review of the Facility Personnel Report Summary on 03/09/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions, with the exception of Gisela Hernandez. LPA informed director during previous visits that a list of staff, including staff Gisela was not listed as associated to the facility on report summary. Staff Gisela had her fingerprints taken on 05/13/2021, started working at the facility on 06/01/2021, then was sent again to complete a livescan on 07/08//2021. Director sent association packet to Regional office and allowed staff Gisela to continue working at the facility without confirming she was cleared to work. Upon further review of the staff personnel file and Guardian records, documents needed to complete the clearance process have not been submitted, therefore the initial clearance application was closed and a fingerprint clearance does not exist for staff Gisela. This is the second citation in the past 12 months for an uncleared adult working at the facility. A civil penalty is being assessed today.

Based on LPA’s interview conducted with Director, the facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 101170(e)(1) Criminal Background Clearance for one (1) staff not cleared to work at the facility.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file.

Exit interview conducted and report was reviewed with Director Andrea Silva. Appeal Rights were discussed. A notice of site visit was given and must remain posted for 30 days. (End of Report)

SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Romelia M CastanonTELEPHONE: (714) 746-8565
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
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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Document Has Been Signed on 03/09/2023 06:21 PM - It Cannot Be Edited

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: 03/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/10/2023
Section Cited

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101170(e)(1) Criminal Record Clearance Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. This requirement is not met as evidenced by:
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Director will print out livescan form and send staff Gisela when she is available to complete the fingerprint clearance. Director will not allow staff Gisela to return to work until clearance is receieved and verified by LPA Castanon. Director will continue learning Guardian and audit facility rosters.
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Based on staff record review and interview with Director, there is no criminal clearance for Gisela Hernandez who has been employed at the facility since 06/01/2021. This poses an immediate risk to the health and safety of children in care.
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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: Rina LopezTELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Romelia M CastanonTELEPHONE: (714) 746-8565
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2023
LIC809 (FAS) - (06/04)
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