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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300610697
Report Date: 05/17/2023
Date Signed: 05/17/2023 11:49:34 AM


Document Has Been Signed on 05/17/2023 11:49 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:CHILDTIME CHILDREN'S CENTER INC.FACILITY NUMBER:
300610697
ADMINISTRATOR:LOPEZ, AMERICAFACILITY TYPE:
850
ADDRESS:2839 VILLA REAL DRIVETELEPHONE:
(714) 637-2022
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY:67CENSUS: 63DATE:
05/17/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:America LopezTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Dean Thompson conducted a case management inspection, in conjunction with another inspection at the facility. During the visit, LPA toured the facility inside and outside.

Upon entry, LPA didnt observe any staff inside the office. LPA walked up the hall, then entered the Pre-K classroom at 8:12 am and observed staff #2 (S2) alone, caring for 13 preschool age children. LPA asked S2 how many children she had in care and S2 replied 12. LPA counted and informed S2 there were 13 children present. At 8:16 am another parent came inside the Pre-K class room to drop off an additional child and S2 stated "I have 14 now." 101216.3(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c). LPA observed S2 bring two children across the hall into the preschool classroom with staff #1 (S1) who stated she was the person in charge until the director arrives.

LPA met with director America Lopez at her time of arrival at 8:48 am. Director provided LPA with staff clock in times and face to name transition sheets.

A review of staff records on this date indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. During the inspection it was determined the facility is not operating within compliance of staffing ratios.

In the areas that were evaluated, one Type A deficiency was observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. 101216.3(a) Teacher-Child Ratio. Please see LIC 809D.

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SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHILDTIME CHILDREN'S CENTER INC.
FACILITY NUMBER: 300610697
VISIT DATE: 05/17/2023
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LPA Thompson informed Director America Lopez that this report dated 5/17/2023 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Thompson informed Director America Lopez to provide a copy of this licensing report dated 5/17/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.


Exit interview conducted and report was reviewed with the Director America Lopez. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights and deficiencies were discussed. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/17/2023 11:49 AM - 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: CHILDTIME CHILDREN'S CENTER INC.

FACILITY NUMBER: 300610697

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/17/2023
Section Cited
CCR
101216.3(a)

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101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement is not met as evidenced by:
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Teacher-Child Ratio corrected during visit.
Director will submit a written statement on how ratio will be met at all times.
Director stated she will email LPA statement at dean.thompson@dss.ca.gov by end of day on 5/17/2023.
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Based on observation and interviews with S2, the licensee did not comply with the section cited above. Upon entering the Pre-K classroom at 8:12 am, LPA observed (S2) alone, caring for 13 preschool age children which poses an immediate health, safety or personal rights risk to persons 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: Judy HansonTELEPHONE: (714) 795-0415
LICENSING EVALUATOR NAME: Dean ThompsonTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:
DATE: 05/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/17/2023
LIC809 (FAS) - (06/04)
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