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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343604946
Report Date: 10/12/2021
Date Signed: 10/12/2021 02:39:37 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
343604946
ADMINISTRATOR:LAURA TORRESFACILITY TYPE:
830
ADDRESS:7901 LAGUNA BLVD.TELEPHONE:
(916) 691-3800
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY:25CENSUS: 11DATE:
10/12/2021
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Laura TorresTIME COMPLETED:
02:28 PM
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On 10/12/2021 at 9:27am Licensing Program Analyst (LPA) Morgan Pringle met with Director Laura Torres for an Unannounced Annual Inspection. Two (2) classrooms were toured for a health and safety inspection. Eleven (11) infants and three (3) staff members were present during the inspection. The facility operates from 6:30am – 6:00pm.

The facility has age appropriate materials in both classroom that are observed to be clean and in good condition. The outdoor space has ample shade for the children and age appropriate materials. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. All sinks were observed to be clean and in proper working order. The counters were observed to be clean and free from hazards. All infants had an Individual Infant Sleeping Plan (LIC9227) and a Needs and Services Plan in the classroom. All cribs were clean and free from hazards. There are enough cribs for each child. All food and bottles are properly stored and labeled. All changing tables and mats are clean and in good condition. LPA did not observe any harmful or unattended bodies of water in or around the facility.

The facility is operating within its licensed capacity and is in ratio. All proper postings are made visible in the entry way of the facility. The fire/disaster drill log was complete with the last drill logged 9/16/2021. A physical census of the children and staff was taken and cross referenced with the sign-in and out log. All children are accounted for and properly signed in/out. Facility has a waiver for an electronic sign/out. LPA obtained a sample of the children’s files and the staff files. All children’s and staff files were complete. During LPA’s record review it was observed two (2) staffs member did not have a record of a vaccination for MMr (see LIC9102-TV).

Continued on LIC809-C

SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-9269
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 340-6032
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 343604946
VISIT DATE: 10/12/2021
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Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Laura Torres.

SUPERVISOR'S NAME: Justin L DentonTELEPHONE: (916) 926-9269
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 340-6032
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
LIC809 (FAS) - (06/04)
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