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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313606470
Report Date: 11/08/2022
Date Signed: 11/08/2022 12:28:06 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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/02/2022 and conducted by Evaluator Jeremey McClain
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20221102135127
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
313606470
ADMINISTRATOR:SUSAN PERKINSFACILITY TYPE:
830
ADDRESS:8747 SIERRA COLLEGE BLVD.TELEPHONE:
(916) 791-2530
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:24CENSUS: 16DATE:
11/08/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Susan PerkinsTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Unqualified staff are providing care
INVESTIGATION FINDINGS:
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On November 8th, 2022, Licensing Program Analysts (LPAs) Jeremey McClain and Katrina Owens met with Licensing Representative Susan Perkins for the purpose of a complaint investigation. At approximately 11:00 am, LPAs observed the following ratios: two staff with eight infants in Infant room G, and two staff supervising eight infants in Infant Room F.

It was alleged that unqualified staff are being used in ratio. During today’s investigation, LPAs observed ratios and reviewed staff files. LPAs interviewed the director regarding staff qualifications, roles, and schedules. During today’s inspection, LPAs observed Staff #1 and Staff #2 in Infant Room F with eight infants, one who was sleeping. Neither Staff #1 nor Staff #2 have required Infant/Toddler Care units meaning the rooms are out of ratio. Staff #3 and Staff #4 were observed to be fully qualified with Infant/Toddler units, while unqualified staff (#1 and #2) mentioned above were providing supervision in Infant Room F. Based on today’s observations, LPA determined the preponderance of evidence standard has been met, therefore, the allegation is determined to be substantiated. (1/2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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 3
Control Number 03-CC-20221102135127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 313606470
VISIT DATE: 11/08/2022
NARRATIVE
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LPA Jeremey McClain informed licensing representative Susan Perkins that this report dated November 8th, 2022 documents a Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Jeremey McClain informed the licensing representative Susan Perkins to provide a copy of this licensing report dated November 8th, 2022 documents that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Posting Requirements
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

This report was reviewed with licensee, and an exit interview was conducted.

A Notice of Site Visit was provided and should remain posted for 30 days.
(2/2)
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20221102135127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 313606470
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/09/2022
Section Cited
CCR
101416.5(b)(1)(A)(B)
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Staff-Infant Ratio.(b)There shall be a ratio of one teacher for every four infants in attendance.(1)An aide may be substituted for a teacher when all of the following conditions are met:(A) There is a fully qualified teacher directly supervising no more than 12 infants; and (B) Each aide is responsible for the direct care and
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Staff #4 returned to the infant room when returning for their lunch. Director will request an exception for Staff #1 to be considered fully qualified while completing the infant and toddler course. Director also recently hired a fully qualified infant teacher who will fill in for teachers on their breaks. LPA will make a return inspection to observe ratios and staff.
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supervision of a group of no more than four infants. This requirement was not as evidenced by LPA's observation of staff and staff qualification. Staff #1 and #2 were supervising eight infants in Infant Room F, althought neither of them had the required qualifications. This poses an immediate health, safety or personal rights risk to persons 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.
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3