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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270267
Report Date: 08/01/2024
Date Signed: 08/01/2024 01:51:04 PM

Document Has Been Signed on 08/01/2024 01:51 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
304270267
ADMINISTRATOR/
DIRECTOR:		VASQUEZ, JENNYFACILITY TYPE:
830
ADDRESS:705 EAST BIRCH STREETTELEPHONE:
(714) 256-2010
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY: 52TOTAL ENROLLED CHILDREN: 52CENSUS: 34DATE:
08/01/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Education Manager, Briana SolarioTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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*This is an amended report*
On 8/1/24 at 12:30pm, Licensing Program Analyst (LPA) Sarah Garcia conducted a case management visit- deficiencies to address the information provided regarding the facility operating out of ratio. LPA met with education manager, Briana Solario. A walk through of the facility was conducted, and a census was taken. Total census was 34 infants and 10 staff.

On 7/19/2024 LPA received documentation that Room 3 had 13 infants and 3 teachers and Room 4 had 9 infants and 2 teachers. Based on record review, the facility allegedly operated out of ratio on 7/19/24. LPA advised education manager that there shall be provision for overlap of staff for different shifts so that continuity of care is assured. LPA received copies of 7/19/24 name to face sheets for 4 infant rooms.

LPA requires further information to make a determination regarding deficiencies. Needs further investigation.

Exit interview was conducted. The Notice of Site Visit was posted. Staff was advised the Notice of Site Visit must be posted for 30 days or $100 Civil Penalty will be assessed. Appeal rights provided.

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2024
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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