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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600638
Report Date: 10/20/2023
Date Signed: 10/20/2023 03:44:22 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, 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
09/22/2023 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20230922145523
FACILITY NAME:CHILDTIME CHILDREN'S CENTER - CHULA VISTA INFANTFACILITY NUMBER:
376600638
ADMINISTRATOR:JESSICA DORNFACILITY TYPE:
830
ADDRESS:770 RANCHO DEL REY PARKWAYTELEPHONE:
(619) 397-0165
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:24CENSUS: 18DATE:
10/20/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Alma EsellerTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Child fell and incident was not witnessed by staff

INVESTIGATION FINDINGS:
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On 10/20/23 at 11:30am, LPA Adrian Castellon conducted a complaint inspection, delivered an amended report and delivered complaint findings for the above allegation. LPA met with assistant Director Alma Eseller and discussed the purpose of the inspection. There were eighteen day-care children present. It was alleged that Child fell and incident was not witnessed by staff. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with facility staff and day-care parents. Ouch reports was obtained pertaining to the allegation.

Based on interviews conducted, the allegation is substantiated. Staff present on the day of the fall were not able to tell LPA Castellon that they witnessed the fall. As such, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Violations of the California Code of Regulations, Tittle 22, are being cited on the attached LIC9099D. Final findings delivered as substantiated, a type ‘B’ violations are being issued, as the situation may pose a risk to children in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023
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 4
Control Number 20-CC-20230922145523
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 INFANT
FACILITY NUMBER: 376600638
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2023
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants: (a) In addition to Section 101229, the following shall apply:
(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.
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Director will submit a written plan detailing how required supervision will be provided by facility staff. Infant Staff shall review CCR Section 101429(a)(1). Director will hold a staff meeting discussing supervision responsibilities and requirements. Director will submit meeting agenda by all staff.
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This requirement was not met as evidenced by staff not being able to state that they witnessed child fall while in care. This may pose a threat to the health and safety of 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: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
09/22/2023 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20230922145523

FACILITY NAME:CHILDTIME CHILDREN'S CENTER - CHULA VISTA INFANTFACILITY NUMBER:
376600638
ADMINISTRATOR:JESSICA DORNFACILITY TYPE:
830
ADDRESS:770 RANCHO DEL REY PARKWAYTELEPHONE:
(619) 397-0165
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:24CENSUS: 18DATE:
10/20/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Alma EsellerTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Child developed a diaper rash from being left in soiled diaper
INVESTIGATION FINDINGS:
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On 10/20/23 at 11:30am, LPA Adrian Castellon conducted a 10 day complaint inspection and delivered complaint findings for the above allegation. LPA met with assistant Director Alma Eseller and discussed the purpose of the inspection. LPA conducted staff interviews. There were eighteen day-care children present. It was alleged that Child developed a diaper rash from being left in soiled diaper. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with reporting party, facility staff and day-care parents. Medical report was obtained.

LPA Castellon could not corroborate the allegation. Medical report does not indicate that child sitting in soiled diaper for one hour caused the diaper rash. Due to conflicting statements obtained during the course of the investigation, the above allegation is deemed to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged allegation occurred. A copy of today's report, Notice of Site Visit and appeals rights given to the licensee. An exit interview was conducted with facility director. Notice of Site Visit should be posted for 30 days from today's date.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4