<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 500311304
Report Date: 11/09/2021
Date Signed: 11/09/2021 12:54:11 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2021 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20210816120626
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
500311304
ADMINISTRATOR:STEPHENS, SONJAFACILITY TYPE:
850
ADDRESS:2320 FLOYD AVENUETELEPHONE:
(209) 551-0255
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:83CENSUS: 59DATE:
11/09/2021
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Director, Sonja StephensTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Day care does not have water
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/09/2021, LPA Jose Penate arrived at facility to conduct an unannounced complaint inspection to deliver findings. LPA Penate spoke with Director, Sonja Stephens and discussed the purpose of the inspection. A tour of the facility was conducted both inside and outside and census was taken.

Based on interviews and records review, the allegation of Day care does not have water has been investigated. Interviews conducted verified that the facility did not have water for hand washing, toilet use and other means as to water needed for daycare children and staff. LPA reviewed records given by facility and it was confirmed that the facility did not have water from 10:33AM – 1:16PM.

Continued on next page, see LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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 04-CC-20210816120626
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 500311304
VISIT DATE: 11/09/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on interviews and records review during this investigation, the allegation of day care does not have water; the preponderance of evidence standard has been met, therefore the above allegation are found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, the following deficiency is being cited on the attached LIC9099-D, see next page.

Exit interview was conducted with Director, Sonja Stephens.

A Notice of Site Visit Form was posted and must remain posted for 30 days.

The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of this form.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20210816120626
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 500311304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/09/2021
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. Based on interviews and records review, day care did not have
1
2
3
4
5
6
7
Director will create a plan to asses any future incidents and within 30mins that it occured, the facility will have the issue fixed or make the decision to close the center for the health and safety of the children in care.
8
9
10
11
12
13
14
water for children in care as stated on LIC 9099. This poses a potential risk to the health and safety of the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3