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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600636
Report Date: 10/24/2022
Date Signed: 10/24/2022 11:42:32 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2022 and conducted by Evaluator Gloria Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20220808154642
FACILITY NAME:CHILDTIME CHILDREN'S CENTER - CHULA VISTAFACILITY NUMBER:
376600636
ADMINISTRATOR:KELLY PARRYFACILITY TYPE:
850
ADDRESS:770 RANCHO DEL REY PARKWAYTELEPHONE:
(619) 397-0165
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:129CENSUS: 69DATE:
10/24/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jessica DornTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility did not report an outbreak as required
INVESTIGATION FINDINGS:
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On October 24, 2022, at 11:00 am, Licensing Program Analyst (LPA), Gloria Gonzalez conducted a complaint inspection to deliver findings and met with Director, Jessica Dorn regarding the above allegation. LPA advised the Director of the purpose of the inspection and conducted a tour of the facility. There were 69 children and 8 staff members present during the inspection.

During the course of this investigation, interviews were conducted with the Director, staff members, daycare children, daycare parents, and records reviewed. It was determined that on 8/3/22 the Licensee was aware of at least 11 cases of Hand Foot & Mouth disease and did not report to the Licensing Department until 8/9/22. The Licensee did not report the epidemic outbreak as required, within the Department's next working day and during its normal business hours.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
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 20-CC-20220808154642
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CHILDTIME CHILDREN'S CENTER - CHULA VISTA
FACILITY NUMBER: 376600636
VISIT DATE: 10/24/2022
NARRATIVE
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Based on interviews which were conducted and records review, the preponderance of evidence standard has been met therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 9099D. See 9099-C for continuation.

LPA reviewed Title 22 regulation regarding reporting requirements, with Director Dorn. A copy of this report, notice of site visit (LIC 9213), and appeal rights (LIC 9058) was provided to Director, Jessica Dorn. LPA observed LIC9213 posted. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
 
An exit interview was conducted with Director, Jessica Dorn.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 20-CC-20220808154642
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDTIME CHILDREN'S CENTER - CHULA VISTA
FACILITY NUMBER: 376600636
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/31/2022
Section Cited
CCR
101212(d)(1)(E)
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101212 Reporting Requirements (d)...a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours...(1)Events reported shall include the following:(E) Epidemic outbreaks.
This requirement was not met as evidenced by:
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Director states she will review the regulations on reporting requirements and watch the CCL video on the topic as well. Director states she will send the San Diego Regional Office a written plan of correction by 10/31/22.
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Based on interviews and record review, the Licensee did not comply with the section cited above as there was an epidemic outbreak and was not reported in a timely manner. This poses a potential 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: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3