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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300611708
Report Date: 11/18/2021
Date Signed: 11/18/2021 01:21:17 PM

Substantiated


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
08/24/2021 and conducted by Evaluator Tina Nguyen
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210824164610
FACILITY NAME:CHILDTIME CHILDREN'S CENTER INC.FACILITY NUMBER:
300611708
ADMINISTRATOR:GUERECA, IRENEFACILITY TYPE:
850
ADDRESS:12421 SPRINGDALE STTELEPHONE:
(714) 894-4250
CITY:GARDEN GROVESTATE: CAZIP CODE:
92845
CAPACITY:80CENSUS: 48DATE:
11/18/2021
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Acting director Leisha DearingTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Child was left unattended.
Staff did not provide adequate supervision.
INVESTIGATION FINDINGS:
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On 11/18/2021, Licensing Program Analyst (LPA) Tina Nguyen conducted a in person inspection to deliver the findings regarding the above complaint allegations. LPA Nguyen met with acting director Leisha Dearing. The Covid-19 Emergency Response questionnaires were asked. There was a total of 5 staff members supervising 48 preschool children. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 08/24/2021, Licensing office received a complaint alleging Child was left unattended; Staff did not provide adequate supervision. Reporting party (RP) indicated that on 08/17/2021, RP witnessed a male child (child #1, C1) walking down the street approximately 400-500 feet from the facility. RP and another witness picked up the child and returned child#1 to the daycare. The RP spoke to the director who assured RP that the incident would be reported to the parent/s.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 06-CC-20210824164610
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 INC.
FACILITY NUMBER: 300611708
VISIT DATE: 11/18/2021
NARRATIVE
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Page 2
During the course of investigation, LPA Nelson and LPA Nguyen learned that on the day of the incident, there was one section of the corner fence were not secured, a child could push out and open wide gap enough to go through. The fence leads into a walkway, that leads to street.

On 08/19/2021, Licensing office received a self-report Unusual Incident Report from licensee reporting, a 2 years old child wandered away from the facility without facility staff members acknowledge. The investigation was initiated on 08/24/2021 by LPA Jordann Nelson and continued on 09/24/2021 by LPA Tina Nguyen. LPA Nelson interviewed staffs, parents, and attempted to interview children on 08/31/2021. On 10/06/2021, LPA Nguyen conducted additional interviews with 5 staff members. On 08/24/21 LPA Nelson interviewed S1 who stated that it was C1’s first day of school. S1 stated that while outside, S1 tried to encourage C1 to come over and play, but C1 would not move from the same spot. S1 then returned to the other students, this resulted in S1 not keeping direct supervision on C1, who was near corner fence. LPA Nguyen attempted to interview C1, but due to C1’s age and limited speech, LPA was not able to qualify child.

During the investigation, facility staff members confirmed the reporting party's statements regarding the child wandering away from the facility was accurate. The staff members interviewed, estimated that the C1 was missing for about 5 to 10 minutes.

Staff #5 (S5) and Staff #6 (S6) indicated that the incident occurred on the first school day of for C1. Per S5 and S6, on the day of the incident at approximately 9:55 AM or 10 AM, S5 saw a couple that was carrying a child while waiting at the school door, S5 opened the school door, the couple gave C1 to S5. In the afternoon, the individual returned and provided contact information; the individual requested the contact information be given to the C1’s parent. S5 indicated that the contact information was given to S5’s manager who provided the information to the parent.
On 10/06/2021, LPA Nguyen requested the video footage of the incident; S5 and S6 confirmed that the video was not available since the video recording is live, for parent viewing, not recording.

Based the information obtained and interviews, the facility staff failed to provide adequate supervision resulting in a day care child wandering away from the facility. The preponderance of evidence standard has been met, therefore allegations: Child was left unattended; Staff did not provide adequate supervision are found to be substantiated. (Continue on page 3)
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20210824164610
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 INC.
FACILITY NUMBER: 300611708
VISIT DATE: 11/18/2021
NARRATIVE
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Page 3
On 08/24/2021, during the case management, LPA Nelson cite the facility type A violation under California Code of Regulations, Title 22, Division 12 & Chapter 1, Article 6 Continuing Requirements 101229 (a) (1) Responsibility for Providing Care and Supervision for the same violation. Therefore, no citation is given for today inspection for Care and Supervision.

During today’s inspection, LPA Nguyen cited the facility type A violation under California Code of Regulations, Title 22, Division 12, Chapter 1, Article 07. Physical Environment 101238 (a) Buildings and Grounds. Please refer to attached 9099D for documentation of deficiency

This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Licensee 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. Licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the Regional Manager to the address listed above.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20210824164610
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 INC.
FACILITY NUMBER: 300611708
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/18/2021
Section Cited
CCR
101238(a)
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101238 Buildings and Grounds (a) The childcare center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidence by:
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The school director indicated that on the day the incident, the facility immediately inspected the fence and used zip ties to secure the fence temporally; a technician was out the next morning to check on the fence, closed the gap and repaired the fence. The director indicated that all the safety measures have been taken
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Based on interviews and record review, on 08/17/2021, C1 went through unsecured fence; got out of the facility for approximately 5-10 mins; facility failed to keep the fence in good repair this lead to the incident. This poses an immediate risk to the health and safety of the children in care.
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including repairing, training, and reviewing the safety policy with all the staff in school to prevent any future incident. During the inspection on 10/06/2021 and 11/18/2021, LPA Nguyen observed the repaired fence. The deficiency is clear during today inspection.
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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.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4