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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624158
Report Date: 09/18/2025
Date Signed: 09/18/2025 02:12:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250814162610
FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
343624158
ADMINISTRATOR:BAY, FRANKLINFACILITY TYPE:
830
ADDRESS:101 HAZELMERE DRIVETELEPHONE:
(916) 984-3800
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:24CENSUS: 14DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Katherine SamsTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Facility Representative Katherine Sams (FR) for the purpose of closing a complaint investigation of the above allegation.

Throughout the course of investigation, LPA conducted observations, reviewed records, and conducted interviews. LPA interviews and witness statements revealed that on at least one occasion, facility was operating out of ratio when staff were unavailable to step in. Additionally, at approximately 8:34AM on 08/20/25, during LPA’s initial complaint visit, LPA observed a census of 4 infants and 2 staff in the Toddlers 1 Room. However, LPA interview and record reviews revealed that neither staff were qualified or have the appropriate documentation on file to meet Title 22 requirements. Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.
continued on LIC9099-C and LIC9099-D...

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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-20250814162610
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 343624158
VISIT DATE: 09/18/2025
NARRATIVE
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Type A Title 22 Deficiency has been issued on the attached LIC 9099-D page. LPA informed Facility Representative, Katherine Sams that this report dated 09/18/25 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA informed the Facility Representative to provide a copy of this licensing report dated 09/18/25 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. A Notice Of Site visit was given to Facility Representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Facility Representative has been provided with appeal rights. Exit interview was conducted, report was reviewed with the Facility Representative, Katherine Sams.


SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 03-CC-20250814162610
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 343624158
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/19/2025
Section Cited
CCR
101416.5(b)(1)
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01416.5 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 supervision of a group of no more than four infants. This requirement is not met as evidenced by:
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Facility Representative (FR) stated
moving forward she will make sure a fully qualified infant teacher are placed in the infant rooms with proper documentation on file. FR stated she hired more staff and updated staff schedules to accommodate ratios and will provide LPA with updated staff schedule. LPA will conduct a Plan of Correction visit.
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LPA interviews and witness statements revealed that on at least one occasion, facility was operating out of ratio when staff were unavailable to step in. Additionally, on 08/20/25, LPA interview and record reviews revealed that staff were not qualified or have the appropriate documentation on file to meet Title 22 requirements.
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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: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3