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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300611715
Report Date: 09/06/2024
Date Signed: 09/06/2024 11:13:08 AM

Document Has Been Signed on 09/06/2024 11:13 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDTIME CHILDREN'S CENTER INC.FACILITY NUMBER:
300611715
ADMINISTRATOR/
DIRECTOR:
ONTIVEROS, NICOLEFACILITY TYPE:
830
ADDRESS:1000 S. STATE COLLEGETELEPHONE:
(714) 772-7225
CITY:ANAHEIMSTATE: CAZIP CODE:
92806
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
09/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Director Nicole OntiverosTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 08/30/2024. LPA met with Director Nichole Ontiveros. LPA observed 18 infants with 6 staff.

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 09/03/2024 a self reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported on Friday August 30, 2024, Parent #1 (P1) called the facility to report an incident that was observed on the facility's camera involving P1's child. P1 stated Staff #1 (S1) was observed grabbing child #1's (C1) arm and put their finger in C1's face saying no.

During today’s visit, LPA interviewed 3 staff and requested the video footage of the incident. Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview was conducted. The Notice of Site Visit was posted. Director Nichole Ontiveros 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.

End of Report.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2024
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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