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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700966
Report Date: 10/10/2019
Date Signed: 10/10/2019 11:36:44 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDTIME LEARNING CENTER-INFANTFACILITY NUMBER:
376700966
ADMINISTRATOR:SOPHIE WILKINSONFACILITY TYPE:
830
ADDRESS:8111 NEW SALEM STREETTELEPHONE:
(858) 586-0721
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY:20CENSUS: DATE:
10/10/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Sophie WilkinsonTIME COMPLETED:
11:40 AM
NARRATIVE
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Licensing Program Analysts (LPA) Adrian Castellon made an unannounced case management inspection to follow-up on a self reported incident that occurred on 09/19/2019 regarding Child #1 who was found unsupervised in a classroom in the facility.

Upon today’s arrival (10/10/2019), LPA’s met with Director Sophie Wilkinson and proceeded to tour the facility. Also present were a total of 13 children in the toddler classroom.

LPA's conducted interviews with staff and toured the facility. During the course of the investigation, LPA Castellon obtained an unusual incident report. As children were transitioning from outdoors to indoors, Child #1 walked into a different classroom other than the one assigned. The teacher in that classroom found the child sitting and reading.



Based on the information gathered during the investigation, a licensing violation did occur. A type B citation is issued on this date. Please see LIC809D for citation. Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDTIME LEARNING CENTER-INFANT
FACILITY NUMBER: 376700966
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2019
Section Cited

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101429 Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply:(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be
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left unattended. This regulation was not followed as evidenced by the fact that Child #1 was found unattended in a classroom for 1 to 2 minutes. This could pose a threat to 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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: 619-767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2019
LIC809 (FAS) - (06/04)
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