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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 500311787
Report Date: 05/12/2022
Date Signed: 05/12/2022 11:19:23 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, 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
03/03/2022 and conducted by Evaluator Jose Penate
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20220303173301
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
500311787
ADMINISTRATOR:STEPHENS, SONJAFACILITY TYPE:
830
ADDRESS:2320 FLOYD AVETELEPHONE:
(209) 551-0255
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:14CENSUS: 11DATE:
05/12/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director Sonja StephensTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff fed infant another infants breast milk

Infant was sent home with another infants bottle

Staff forced day-care child to sleep
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/12/2022, An unannounced complaint inspection was conducted today by Licensing Program Analyst (LPA), Jose Penate. LPA met with Director, Sonja Stephens. LPA advised the purpose of today's inspection is to close the complaint investigation. During investigation, LPA interviewed staff, reviewed facility records, and observations.

With the allegation of, Staff fed infant another infants breast milk. LPA reviewed documentation and conducted interviews that confirms that the facility gave child incorrect breast milk and sent incorrect bottle home that belonged to another child. LPA confirmed by information gathered that the facility gave 9oz of breast milk to child on 1/3/22. On 1/3/22 child’s representative only handed the facility 6oz of breast milk and it was disclosed on Watch Me Grow app that the facility gave child at 9:26AM 3oz-12:04PM 3oz and at 4:12PM another 3oz, this totals 9oz fed to child. This means the at the child received 3oz of breast milk from another child’s bottle.

With the allegation of, infant was sent home with another infant’s bottle, LPA observed documention and interviews conducted, confirm that the incorrect bottle was sent home with another child that had a small amount of breast milk remaining. Staff did not verify the name on the bottle prior to handing it to childs representative.

With the allegation of, Staff forced daycare child to sleep, LPA reviewed facility files and conducted interviews, it has confirmed that a staff member used excess force when laying a child on their cot for nap time. Staff used hand to hold head down on the cot and did not give the child that was not wanting to sleep a quite activity while the other children slept.

This agency has investigated the complaint. After interviews, records review and LPA observance this agency has investigated the above complaint allegations; the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, deficiency cited (See 809-D)

Exit interview conducted with Director, Sonja Stephens.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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 4
Control Number 04-CC-20220303173301
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: 500311787
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/20/2022
Section Cited
CCR
101223(a)(1)
1
2
3
4
5
6
7
The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as
1
2
3
4
5
6
7
Director stated she will condct an all staff meeting on how to handle a child that is not wanting to sleep and allow them to have a quite activity while the other children sleep.
8
9
10
11
12
13
14
evidenced by: Based records review this incident occurred with staff member using exessive force to have child sleep. This is an immediate health & safety risk to 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.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 04-CC-20220303173301
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: 500311787
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2022
Section Cited
CCR
101223(a)(2)
1
2
3
4
5
6
7
The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
1
2
3
4
5
6
7
Director stated that an all staff training will be conducted on proper procedures in the infant classroom. Director will submit meeting notes with all information given to staff by POC date.
8
9
10
11
12
13
14
This requirement was not met as evidenced by record review and interviews. The facility fed infant another infants breat milk. This poses a potential risk to the Health, Safety, or Personal Rights of children in care.
8
9
10
11
12
13
14
Type B
05/20/2022
Section Cited
CCR
101427(j)(3)
1
2
3
4
5
6
7
Bottles, dishes and containers of food brought by the infant's authorized representative shall be labeled with the infant's name and the current date. Bottles and dishes provided by the authorized representative shall
1
2
3
4
5
6
7
Director stated that an all staff training will be conducted on proper procedures in the infant classroom. Director will submit meeting notes with all information given to staff by POC date.
8
9
10
11
12
13
14
be rinsed and returned to the authorized representative for sanitizing at the end of each day. This requirement was not met as evidenced by record review and interviews. The facility sent home incorrect infant bottle with another child name. This poses a potential risk to the Health, Safety, or Personal Rights of children in care.
8
9
10
11
12
13
14
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: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4