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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343605614
Report Date: 03/01/2023
Date Signed: 03/01/2023 12:24:04 PM

Document Has Been Signed on 03/01/2023 12:24 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
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
343605614
ADMINISTRATOR:DANYEL CHEATHONFACILITY TYPE:
850
ADDRESS:2555 MILLCREEK DRIVETELEPHONE:
(916) 648-1061
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 36DATE:
03/01/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Astia ArtTIME COMPLETED:
12:45 PM
NARRATIVE
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On March 1st, 2023, at approximately 9:00 AM, Licensing Program Analyst (LPA) Arianna Manabat met with Facility Representative Astia Art for the purpose of following up on a Unusual Incident Report (UIR). The purpose of today's inspection was discussed with the Facility Representative. During the visit LPA observed 36 children supervised by five staff members.

LPA Manabat received a written UIR which stated that two children were unattended restroom and that one child had inappropriately touched the other. LPA Manabat conducted interviews with the children, the staff member that was present during the incident, and the Director who was not present at the time of the incident. In interviews LPA learned that the door to the restroom, that is located inside of room B, was shut for a couple of minutes. LPA learned that the facility utilizes door stops to keep the restroom door open but that, children will frequently throw the door stops in the toilet or hide them. LPA observed that since the incident, maintenance has immediately installed door stops to the door. LPA learned that the acting Director had immediately taken preventative action and ordered the doorstops to prevent the incident from reoccurring.

During interviews with eye witnesses, it was confirmed that the two children had inappropriately touched each other during their time in the restroom. Interim Director stated that, since learning about this incident, classroom A is now utilized for the closing shift instead of B since it is much closer to the Director's office. A record review of the facility's history indicate that a lack of supervision citation was previously issued on January 19th, 2023 to which LPA issued one Type A citation.


CONTINUED ON 809-C.....
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE: DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/01/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 343605614
VISIT DATE: 03/01/2023
NARRATIVE
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Based on the inspection, Title 22 Deficiencies have been issued on the attached on the LIC 809-D pages. The Licensee was informed that this report dated on 03/01/2023 documents one Type A citation which shall be posted for 30 consecutive days. An immediate civil penalty for a repeat violation is being assessed in the amount of $250. The Licensee shall also provide a copy of this licensing report 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 notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. A signed Acknowledgement of Receipt of the Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. The Facility Representative has been provided with appeal rights.
SUPERVISORS NAME: Roxana Saravia
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/01/2023 12:24 PM - It Cannot Be Edited


Created By: Arianna Manabat On 03/01/2023 at 11:54 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 343605614

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/01/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/02/2023
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement was not met, evidenced by:
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Facility has ordered extra doorstops for the doors and ensure that, if door stops are not available, that staff are physically present in the restroom's doorway.
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 Based on observation and interviews, one staff member was unable to provide 100% supervision to children which 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.
SUPERVISOR'S NAME:Roxana Saravia
LICENSING EVALUATOR NAME:Arianna Manabat
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2023


LIC809 (FAS) - (06/04)
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