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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566209678
Report Date: 09/07/2021
Date Signed: 09/07/2021 02:31:10 PM

Document Has Been Signed on 09/07/2021 02:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
566209678
ADMINISTRATOR:ERIKA SANCHEZFACILITY TYPE:
830
ADDRESS:700 E. ESPLANADE DR.TELEPHONE:
(805) 983-7779
CITY:OXNARDSTATE: CAZIP CODE:
93036
CAPACITY: 36TOTAL ENROLLED CHILDREN: 0CENSUS: 36DATE:
09/07/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Erika SanchezTIME COMPLETED:
02:40 PM
NARRATIVE
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On September 7, 2021 at 10:40 AM, Licensing Program Analyst (LPA) Betzayra Cervantes conducted an unannounced inspection for the purpose of completing a Case Management - Incident inspection. LPA asked the Director pre-screening questions related to COVID-19. Director's responses suggest no COVID exposure on site. LPA met with Director Erika Sanchez and advised her the purpose of the inspection. LPA and Director conducted a tour of the facility inside and outside. LPA observed 36 children in care by 5 teachers at the time of the inspection.

On 6/29/2021, the facility self reported an incident where on 6/29/21, Child #1 was left unattended for three minutes in the classroom. Interview with Director reveal that Staff #1 failed to get a complete count of how many children were in the classroom (face to name) and as a result, C1 was left in classroom unattended. According to S2, the incident occurred at 4:15 PM during the transition time to going outside to the playground. Director stated that C1 came back inside the classroom without the teacher's knowledge while everyone was outside on the playground to retrieve an item. S1 was supervising a total of 9 children at the time of the incident. At 4:17PM, C1 was discovered emotionally distressed inside the classroom alone by Staff #2. S2 discovered the child crying between the bookshelves and consoled the child and brought C1 up to the front.

LPA inspected the areas where the child was found and found no hazards in the classroom or in the bathroom. S2 notified Management and CCLD of the incident. Assistant Director notified the parents of C1 and advised that the child is still receiving care at the center and has been doing well.

LPA reviewed staff files and confirmed teacher qualifications. LPA observed the write up that the Director provided to Staff #1 advising of disciplinary action and Director stated that S1 is no longer employed at the center.

Continued on 809-C
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 566209678
VISIT DATE: 09/07/2021
NARRATIVE
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Interview with Director also revealed that staff training on care and supervision will be conducted in October due to the incident and Director will be making additional changes during periods of transition to ensure that children are accounted for at all times.

Based on interviews conducted with staff and Director, LPA determined that the facility failed to provide proper supervision for C1 during the incident on 6/29/21 given the fact that child was left alone for approximately three minutes. Facility Director understands and has started to take appropriate action to ensure that the incident does not happen again.

Exit interview conducted with Director, Erika Sanchez. A copy of this report was reviewed and provided to the Director. LPA advised that a facility informal compliance conference will be scheduled for a later date at Community Care Licensing Office located at 6500 Hollister Avenue, Suite 200, Goleta, CA 93117.

One Type B deficiency was cited during today's visit.



THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
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Document Has Been Signed on 09/07/2021 02:31 PM - It Cannot Be Edited


Created By: Betzayra Cervantes On 09/07/2021 at 01:32 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHILDTIME LEARNING CENTER

FACILITY NUMBER: 566209678

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2021
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision.
(a) The licensee shall provide care and supervision ...to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher ... visual observation.
This requirement is not met as evidenced by:
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Director will submit a written plan of correction stating measures to be taken in order to be in compliance with Title 22 Regulations and avoid any lack of supervision violations. The letter will identify training on supervision, staff positioning, children accoutability, and protocols during transition times.
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Based on LPA's observations, interviews, and records. The facility left one child without supervison for approximately three mintues. This poses a potential Health and Safety risk to persons in care.
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Wriiten plan will be sent by either fax (805) 685-1820 or email to betzayra.upchurch@dss.ca.gov. An informal Compliance Conference will be scheduled at a later date at the Santa Barbara Regional Office.

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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:George Mingle
LICENSING EVALUATOR NAME:Betzayra Cervantes
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2021


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