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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808529
Report Date: 05/09/2023
Date Signed: 05/09/2023 12:02:06 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/03/2023 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230503134715
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
334808529
ADMINISTRATOR:ABBY LEWISFACILITY TYPE:
850
ADDRESS:27321 NICOLAS RD.TELEPHONE:
(951) 693-4843
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:96CENSUS: 31DATE:
05/09/2023
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Abby LewisTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Facility is operating out of ratio



INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to conduct an investigation into the above allegation. LPA toured the facility and conducted census. LPA met with Director, Abby Lewis and discussed the allegation. There is an allegation that the facility is operating out of ratio. LPA conducted interviews with staff who disclosed that the facility is out of ratio on occasion.

LPA observed 27 children inside classroom #3 with two staff members. One staff was supervising children in the bathroom while the other staff member was at a table with some children while other children were fighting over toys, crying and running around.

LPA observed 14 children inside classroom #2 with one staff member. Base on information received from staff interviews and LPA's observation of 27 children with two staff inside classroom #3 and 14 children inside classroom #2 with one staff the above allegation is SUBSTANTIATED. -------------SEE NEXT PAGE----------

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
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 6
Control Number 10-CC-20230503134715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 334808529
VISIT DATE: 05/09/2023
NARRATIVE
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Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.


SEE LIC 9099D for deficiency cited.

An exit interview was conducted, appeal rights discussed and provided along with form LIC 9224 (AB 633) a Notice of Site Visit and a copy of this report to the facility on this date.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 10-CC-20230503134715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 334808529
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/09/2023
Section Cited
CCR
101216.3(a)
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Teacher-Child Ratio - (a)There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement was not met as evidenced by: LPA observed 14 childen in Classrom #2 with one staff member and 27 children inside classroom #3 with two staff members.
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Director, Abby Lewis agrees to submit in writing how the facility will stay within ratio as required by Title 22 Regulations going forward.
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This poses an immediate risk to the health and safety to children 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: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/03/2023 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230503134715

FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
334808529
ADMINISTRATOR:ABBY LEWISFACILITY TYPE:
850
ADDRESS:27321 NICOLAS RD.TELEPHONE:
(951) 693-4843
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:96CENSUS: 31DATE:
05/09/2023
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Abby LewisTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Staff do not ensure indoor areas accessible to day care children are free from hazards.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to conduct an investigation into the above allegation. LPA toured the facility and conducted census and interviews with staff. There is an allegation that the indoor area of a classroom is not free of hazards. LPA observed inside the classroom a gap between the wall and the sink area. LPA had received an Unusual Incident Report where a child had gotten his/her head stuck between the wall and the sink for approximately five minutes. Interviews with staff disclosed that some children like to go into that area to play with water from the sink, but this is the first time they know of where a child got stuck. While this facility has been open for a number of years without another incident such as this, the above allegation will be SUBSTANTIATED as a child did get their head stuck between the wall and the sink. SEE LIC 9099D for deficiency cited.

An exit interview was conducted, appeal rights discussed and provided along with a Notice of Site Visit and a copy of this report to the facility on this date.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 10-CC-20230503134715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 334808529
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/08/2023
Section Cited
CCR
101238(b)
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101238 Buildings and Grounds - (b) All children shall be protected against hazards within the center. This requirement was not met as evidenced by: A child got his/her head stuck in a gap between the wall and the sink inside classroom #2 for approximately five minutes. This is a potential risk to the


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Director, Abby Lewis agrees to submit a work order to have the gap inside the classroom barricaded between the wall and the sink and submit copies of the work order and barricade to Community Care Licensing by 06/08/23.
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health and safety of children 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: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/03/2023 and conducted by Evaluator James Wilkerson
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230503134715

FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
334808529
ADMINISTRATOR:ABBY LEWISFACILITY TYPE:
850
ADDRESS:27321 NICOLAS RD.TELEPHONE:
(951) 693-4843
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:CENSUS: 31DATE:
05/09/2023
UNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Abby LewisTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Staff do not provide appropriate supervision to children in care

Staff handle day care children in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to conduct an investigation into the above allegations. LPA toured the facility, conducted census and staff interviews. LPA met with Director, Abby Lewis and discussed the allegations. There is an allegation that a child had bitten children and him/herself due to a lack of supervision and staff shortages. There is an allegation that a child was handled in a rough manner by a staff member. During staff interviews LPA received conflicting information. Staff disclosed that they have not observed any staff handlling a child roughly, but have heard it may have happened. Staff stated that children do bit and had even bitten him/herself, however they had observed this happening and could not react quick enough to prevent the incidents from happening. LPA cannot prove or disprove that any biting incidents occurred due to a supervision issue. LPA cannot prove or disprove that a staff had handled a child in a rough manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted, appeal rights discussed and provided along with a Notice of Site Visit and a copy of this report to the facility on this date.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 6