376600636-8-9-2022-20-CC-CGRY-CJ7TWY-20220912150616

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376600636
Report Date: 08/09/2022
Date Signed: 08/09/2022 09:54:26 AM

Unsubstantiated

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
05/26/2022 and conducted by Evaluator Michelle Hood

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20220526093730

FACILITY NAME:	CHILDTIME CHILDREN'S CENTER - CHULA VISTA		FACILITY NUMBER:	376600636
ADMINISTRATOR:	KELLY PARRY		FACILITY TYPE:	850
ADDRESS:	770 RANCHO DEL REY PARKWAY		TELEPHONE:	(619) 397-0165
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	129	CENSUS: 58	DATE:	08/09/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jessica Dorn, Director		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Staff did not prevent day care children from engaging in inappropriate behaviors
Day care child sustained injury while in care
Staff did not notify day care child's authorized representative of incident in a timely manner

INVESTIGATION FINDINGS:

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On 08/09/2022 at 9:30 AM, Licensing Program Analyst (LPA) Michelle Hood conducted an unannounced complaint inspection and met with the Director, Jessica Dorn. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. The director led LPA on a tour of the facility. LPA observed 58 children and 11 staff present in the facility during this inspection.

During the investigation, LPA interviewed the reporting party, director, and staff. LPA reviewed pictures and documents. When the incident occurred there was supervision in place in the classroom. There was two staff with 12 children present at the time of the incident. The staff immediately separated and assessed the two children involved in the incident. The staff placed ice on one child’s cheek; however, staff did not observe any signs of serious trauma on either child. The staff reported the incident to the facility administration promptly; who then reported the incident to both parents in a timely manner.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 20-CC-20220526093730

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: 08/09/2022

NARRATIVE

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Due to conflicting statements obtained during the course of the investigation, the above allegations are found to be UNSUBSTANTIATED meaning although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The licensee was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. LPA observed the director post the LIC 9213. No deficiencies were cited. An exit interview was conducted with Director Jessica Dorn.

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Michelle Hood	TELEPHONE: (691) 767-2241
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022

LIC9099 (FAS) - (06/04)

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