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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270268
Report Date: 10/02/2023
Date Signed: 10/02/2023 02:29:48 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/04/2023 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230804111912
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
304270268
ADMINISTRATOR:VASQUEZ, JENNYFACILITY TYPE:
840
ADDRESS:705 EAST BIRCH STREETTELEPHONE:
(714) 256-2010
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY:28CENSUS: 9DATE:
10/02/2023
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Jenny Vasquez, Director TIME COMPLETED:
02:35 PM
ALLEGATION(S):
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Staff did not report incident to responsible party in a timely manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. LPA met with director, Jenny Vasquez. Census was taken. The overall census observed was 1 staff and 9 school age 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 8/4/23 a complaint was filed with the Licensing office stating staff did not report incident to responsible party in a timely manner. Reporting Party (RP) stated the following: RP stated a child sustained an injury while on an outing to a waterpark with the center. The incident happened around 9-11am and the parents were not informed until 3:30pm.

Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 06-CC-20230804111912
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
FACILITY NUMBER: 304270268
VISIT DATE: 10/02/2023
NARRATIVE
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During the course of investigation, LPA interviewed the Director, 3 staff, 3 parents, 3 children, and reviewed records.

During the staff interview, LPA discovered that on 8/3/2023 the facility took the children to the Splash Pad. Staff #1 (S1) witnessed Child #1(C1) climbed and slipped on the monkey bar. S1 asked if C1 was ok and C1 stated C1 hurt C1’s private part, but C1 was fine. They returned back to the facility at approximately 12:00pm. At around 3pm, C1 started to complain about the injury. S1 informed the director about the incident when C1 started to complain about injury. Director immediately called C1’s mother and provided the parent with the incident report when parent picked up C1.

During the initial inspection dated 8/8/23, LPA Duron reviewed incident report dated 8/3/23 which indicated C1 fell from the monkey bar at Splash Pad. The incident report was reviewed and signed by Director and dated 8/3/23. The incident report was signed by parent on 8/3/23. Director stated the parent was given a copy and a copy of the incident report was retained in the child's records.

LPA Duron contacted and interviewed 3 parents. All interviewed parents stated they did not have any concern with facility.

Based on the information gathered from LPAs’ interviews, observation, and reviewing records, there is insufficient evidence to corroborate the allegations of staff did not report incident to responsible party in a timely manner. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur in the day care facility, therefore the allegation is UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights 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.
Page 2 of 2. End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2023
LIC9099 (FAS) - (06/04)
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