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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300611704
Report Date: 12/14/2022
Date Signed: 12/14/2022 11:59:07 AM


Document Has Been Signed on 12/14/2022 11:59 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:CHILDTIME CHILDREN'S CENTER INC.FACILITY NUMBER:
300611704
ADMINISTRATOR:SCHEEVEL, JESSICAFACILITY TYPE:
850
ADDRESS:24590 LA PLATA DR.TELEPHONE:
(949) 495-4727
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:72CENSUS: 41DATE:
12/14/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jessica Scheevel, DirectorTIME COMPLETED:
12:15 PM
NARRATIVE
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On 12/14/2022 LPA, Stella Gutierrez made an unannounced visit to the facility for the purpose of a self reported incident that occurred on the preschool play ground on 12/06/2022. Upon arrival LPA was met with Assistant Director Kathren Massey who was explain the reason for today's visit. The director, Jessica Scheevel arrived to the facility shortly after to provide a full tour of the preschool facility indoors and outdoors. LPA observed 06 preschool staff and 41 preschool children.

On 12/06/2022 an incident that was self reported by the director that Child #1 had communicated to Staff #1 that there was inappropriate touching by Child #2 while on the play ground sand box area on 12/06/2022 at 11:25 AM. The director reported that staff #1 stated that they did not observe the incident due to assisting another child to the restroom which is about 20 feet away from the sand box where the alleged incident occurred with Child #1 and Child #2.

LPA observed outdoor space during today's inspection. The sand box is 15-20 feet distance away from restrooms to not have a 100 % supervision provided to the children in the sand box on 12/06/2022. LPA interviewed 3 staff, 1 parent and attempted 2 other parent interviews during today's visit.

Staff #1 stated that Child #2 had a previous incident about 1 week prior with another child, so staff #1 stated that child is asked to keep their hands to themselves. Action take was asking child #2 to put their hands in their pockets when feeling like the need to not keep their hands to thyself . Child #2 was send home immediately after the incident occurred on 12/06/2022 and was observed not keeping their hands to thyself again on 12/12/2022 . Child was send to another facility effective 12/13/2022 based on the incidents and to fit Child #2's needs. LPA discussed care and supervision with the director during today's visit.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
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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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 CHILDREN'S CENTER INC.
FACILITY NUMBER: 300611704
VISIT DATE: 12/14/2022
NARRATIVE
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Based on observations and statements taken during the interview process, the facility did not provide supervision as necessary to meet the children's needs on the play ground on 12/06/2022.

The following violation was revealed and is being cited in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1,101229 (a)(1) a Type B deficiency will be cited today. Please refer to attached 9099 (D).

An exit interview was conducted with the director, Jessica Scheevel. Appeal rights were discussed and provided. This report was reviewed, and a copy provided. A notice of site visit was provided and must be posted for 30 days in a prominent area.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 12/14/2022 11:59 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: CHILDTIME CHILDREN'S CENTER INC.
FACILITY NUMBER: 300611704

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2022
Section Cited

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time,

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Director agrees to conduct a staff training discussing care and supervision and developing a plan while on playground to meet all children's needs. The director will provide a meeting agenda and a role sheet signed by all staff names who attended the training. Director will forward these items to LPA via email stella.gutierrez@dss.ca.gov
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This regulation was not met as evidence by statements and observation that then children in the were not 100 % supervised by STAFF #1 on 12/06/2022 resulting in the incident occurring based on Child #1 statement.
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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: Stella GutierrezTELEPHONE: (714) 293-5262
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
LIC809 (FAS) - (06/04)
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