313624161-1-12-2023-03-CC-KPES-CN9PZG-20230120104528

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 313624161
Report Date: 01/12/2023
Date Signed: 01/12/2023 12:11:41 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
12/19/2022 and conducted by Evaluator Jeremey McClain

PUBLIC

COMPLAINT CONTROL NUMBER: 03-CC-20221219103943

FACILITY NAME:	CHILDTIME LEARNING CENTER		FACILITY NUMBER:	313624161
ADMINISTRATOR:	AGUILAR, JENNY		FACILITY TYPE:	850
ADDRESS:	1622 SIERRA GARDENS DRIVE		TELEPHONE:	(248) 697-9000
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	90	CENSUS: 25	DATE:	01/12/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jenny Aguilar		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not ensure hazardous materials were inaccessible to day care children, resulting in a day care child becoming ill.

Staff smokes on facility premises.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Jeremey McClain met with Director Jenny Aguilar for the purpose of delivering findings for a complaint investigation. Upon arrival, LPA observed 25 preschool children supervised by six staff in four separate rooms. LPA investigated allegations following allegations: 1) Staff did not ensure hazardous materials were inaccessible to day care children;2) Staff smokes on facility premises.

During the investigation, LPA conducted interviews with current and former staff, reviewed staff files, and reviewed an incident report regarding an incident that occurred on 12/15/22.

On 12/15/22, Child #1 was found with a vape pen in her mouth by Staff #1 and Staff #2. The vape pen (smoking device) was left on the playground after it was lost from Staff #3. The vape pen was not observed or retrieved before the children used the playground and was found by Child #1. The evidence was not sufficient to determine that Child #1 ingested from the vape pen, however evidence was conclusive that Child #1 had the vape pen in their mouth, and later suffered from an upset stomach and diarrhea for up to 24 hours after the incident. Report continued on the following page.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

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-20221219103943

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 LEARNING CENTER	FACILITY NUMBER: 313624161
	VISIT DATE: 01/12/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Evidence was conclusive that Staff #3 was previously observed by other staff members smoking the vape pen in the staff break room at the facility. Administration was not aware of Staff #3 smoking in the break room until after the incident occurred on 12/15/22.

Based on the evidence that was gathered, LPA determined the preponderance of evidence standard has been met, therefore, the allegations are determined to be substantiated.

Type A Deficiency
LPA Jeremey McClain informed facility representative Jenny Aguilar that this report dated January 11th, 2023, documents 1 Type A citation which shall be posted for 30 consecutive days as there was immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Jeremey McClain informed the licensee Jenny Aguilar to provide a copy of this licensing report dated January 11th, 2023, 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.

Appeal Rights were provided, and an exit interview was conducted. A Notice of Site Visit was posted and must remain posted for 30 days.

SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Jeremey McClain
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 03-CC-20221219103943

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 LEARNING CENTER	FACILITY NUMBER: 313624161
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/12/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/13/2023 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights. (a)The licensee shall ensure that each child is accorded the following personal rights:(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.This requirement was not as evidenced by interviews during a complaint investigation and an unusual incident report that was	1 2 3 4 5 6 7	Staff #3 is no longer employed at the facility. Director stated that she will review with staff procedures for safety checks of the playground before usage by children. Director will reiterate to staff that smoking is not allowed on or near the premises.
	8 9 10 11 12 13 14	reported to LPA via email on 12/21/22. On 12/15/22, Child #1 was found with a vape pen in her mouth by Staff #1 and Staff #2, after it was left on the playground from Staff #3. Evidence was also conclusive that Staff #3 previously used the vape pen in the staff break room on site. This posed an immediate risk to health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: 01/12/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3