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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700966
Report Date: 01/24/2024
Date Signed: 01/24/2024 03:45:13 PM


Document Has Been Signed on 01/24/2024 03:45 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 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: 8DATE:
01/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Sophie WilkinsonTIME COMPLETED:
04:00 PM
NARRATIVE
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On 1/24/2024 @ 2:55PM Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced case management inspection in reference to a self-reported incident that happened on 1/16/2024 wherein an infant was given the wrong bottle. LPA toured the infant classroom with Sophie Wilkinson, Site director and Tori Buhl, Ass't Director. Observed present were 8 infants with staff Jamuna Naveen, Maria Damato, Joyeeta Mitra and Jatinder Kaur.

Facility estimated that the child ingested about 1/2 oz of milk. Both parents were immediately notified of the incident. It is being noted that the child did not suffer from any adverse affect after ingesting wrong formula/milk. Today, LPA observed proper storage of infant formulas. Each bottles were labeled appropriately.

Staff re-training was conducted by Ms. Wilkinson on 1/18/24 and 1/24/24. Ms. Wilkinson provided LPA with minutes of the training and list of attendees.

Type B deficiency was cited today. Type B deficiency if not corrected poses a potential risk to the health, safety or personal rights of clients in care.

Exit interview was conducted with Ms. Wilkinson. LPA reviewed and provided Ms. Wilkinson a copy of this report. Appeal rights and Notice of Site visit were also given. Notice of site visit shall be posted for 30 days.
SUPERVISOR'S NAME: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 929-2327
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 01/24/2024 03:45 PM - 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
SAN DIEGO N. CC RO, 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: 01/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/25/2024
Section Cited
CCR
101223(a)(2)

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PERSONAL RIGHTS
To be accorded safe, healthful and comfortable accommodations...

This was not met as evidenced by:
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DEFICIENCY WAS CORRECTED IMMEDIATELY. Director conducted a meeting with all the infant staff on 1/18/2024 and 1/24/24. Director provided minutes of the meeting and attendees today.
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Based on the unusual incident report and director's account of the incident, an infant was given the wrong bottle.
Infant did not suffer from any adverse effect after ingesting wrong formula/milk.
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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: Joelle ReddingTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 929-2327
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2