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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808529
Report Date: 08/24/2023
Date Signed: 08/24/2023 03:42:37 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
05/17/2023 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230517092346
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: 57DATE:
08/24/2023
UNANNOUNCEDTIME BEGAN:
02:58 PM
MET WITH:Abbey Lewis, DirectorTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff served food to day care child that they were allergic to.
INVESTIGATION FINDINGS:
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On August 24, 2023, at 3:03 p.m., Licensing Program Analyst (LPA) Cindy Hamilton, met with Childtime Children’s Center (CCC) director Abbey Lewis to deliver the findings for the above stated allegation.  During the investigation, LPA Hamilton conducted interviews with three staff, District manager, and reporting party.  LPA Hamilton conducted a health and safety inspection of the CCC on May 24, 2023, and no safety concerns were noted.  LPA obtained and reviewed other pertinent documentation. LPA Hamilton did not conduct an interview the child identified as witness and/or “victim”.

On May 17, 2023, Community Care Licensing (CCL) received information stating that staff served food to day care child that they were allergic to. It was alleged that CCC fed Child #1 (C1) cheerios while at CCC and C1 is allergic to oats and is lactose intolerant. Confidential interviews and records review disclosed C1 was fed Cheerios for breakfast on February 28, 2022. A picture was posted in the Brightwheel app of C1 in class eating Cheerios for breakfast. Records review revealed that the oats allergy was disclosed on enrollment documents dated January 19-26, 2022. Records review also disclosed pictures of C1’s reaction to ingesting the Cheerios taken on February 28,2022, after C1 was picked up from CCC.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
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 5
Control Number 10-CC-20230517092346
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: 08/24/2023
NARRATIVE
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Confidential interviews disclosed that staff at CCC do not recall C1 having an allergic reaction or ingesting the allergen.

Based on records review, the preponderance of evidence has been met and the allegation that staff served food to day care child that they were allergic to is substantiated. The facility is being cited for Title 22, Section 101227 (a)(7)(B) Food Services which poses a potential health, safety and/or personal rights risk to children in care.

An exit interview was conducted, a copy of this report, Appeal Rights and Notice of Site Visit were provided to Director. The Director was reminded that the Notice of Site visit must remain posted for 30 consecutive days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
05/17/2023 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230517092346

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: DATE:
08/24/2023
UNANNOUNCEDTIME BEGAN:
02:58 PM
MET WITH:Abbey Lewis, DirectorTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Day care child sustained an unexplained injury while in care.
Staff did not ensure that day care child was fed a sufficient quantity of food while in care.
Staff did not report incident(s) involving day care child while in care.
INVESTIGATION FINDINGS:
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On August 24, 2023, at 3:03 p.m., Licensing Program Analyst (LPA) Cindy Hamilton, met with Childtime Children’s Center (CCC) director Abbey Lewis to deliver the findings for the above stated allegations.  During the investigation, LPA Hamilton conducted interviews with three staff and reporting party.  LPA Hamilton conducted a health and safety inspection of the CCC on May 24, 2023, and no safety concerns were noted.  LPA obtained and reviewed other pertinent documentation. LPA Hamilton did not conduct an interview the child identified as witness and/or “victim”.

On May 17, 2023, Community Care Licensing (CCL) received information stating that Child #1 (C1) sustained an unexplained injury while in care, staff did not ensure that day care child was fed a sufficient quantity of food while in care, and staff did not report incident(s) involving day care child while in care. Regarding the allegation that C1 sustained an unexplained injury while in care, it was alleged that on April 7, 2022, C1’s parent observed a huge bruise on C1’s left arm when putting C1’s pajamas on.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20230517092346
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: 08/24/2023
NARRATIVE
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Confidential interviews disclosed to LPA that CCC staff could not provide the parent an explanation because none of the staff at the CCC witnessed C1 fall or sustain an injury and the child did not complain about being hurt. In addition, records reviewed did not disclose any reports of accidents or injuries involving C1. LPA obtained a picture of C1’s arm with a large reddish bruise taken on April 7, 2022; however, LPA was unable to corroborate allegation because LPA was unable to interview C1 and obtain pertinent information regarding the injury.

Regarding the allegation that staff did not ensure that day care child was fed a sufficient quantity of food while in care, it was alleged that C1 would come home extra hungry after being at CCC and staff did not ensure that C1 had enough to eat. Confidential interviews disclosed that C1 ate the lunch and snacks provided by the school and there were no issues with C1’s appetite. Further interviews revealed that C1 never complained about being hungry nor did C1 ever request additional food. Records reviewed revealed that CCC provided balanced meals and snacks to children in care and the menu was up to date. Due to a lack of pertinent information and because LPA was unable to interview C1, LPA was unable to corroborate allegation.

Regarding the allegation staff did not report incidents involving daycare child while in care, it was alleged that CCC did not provide C1’s parents any reports of incidents and/or injuries. During investigation, LPA conducted a review of C1’s records and LPA did not observe any reports of any injuries or incidents regarding C1 as there were none on file. Confidential interviews also disclosed that C1 had been enrolled at the CCC from February, 2022 thru April, 2022 and staff could not recall if the child sustained any injuries or incidents while she was in the CCC. Staff confirmed that if a child sustained an injury, or there is an unusual incident involving the child, it would be immediately reported to the parent and an “ouch” report would be generated. Further interviews revealed that C1 never complained about being hurt or bit by another child and staff were unaware of any injuries.

Based on confidential interviews and records reviewed, the allegations that day care child sustained an unexplained injury while in care, staff did not ensure that day care child was fed a sufficient quantity of food while in care, and staff did not report incident(s) involving day care child while in care, may have occurred, however are not supported, or proven by evidence. Therefore, the allegations are unsubstantiated.

An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit were provided to Director. The Director was reminded this notice must be posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20230517092346
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: 08/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/22/2023
Section Cited
CCR
101227
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Section 101227 (a)(7)(B) Food Services
Food Services (a) In childcare centers providing meals to children, the following shall apply: (7) Modified diets prescribed by a child's physician as a medical necessity shall be provided. (B) A child shall not be served any food to which the child's record indicates he/she has an allergy. This requirement was not met as evidenced by:
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Director has agreed to review and update the CCC’s procedures and ensure all staff are trained or retrained on the updated procedure for serving food and handling food allergies. Director will provide training agenda/content and sign in sheets to LPA via email on or before the POC due date.
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Based on records review, C1 was served food that C1 was allergic to which poses a potential health, safety and/or personal rights risk 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: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5