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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343605614
Report Date: 01/19/2023
Date Signed: 01/23/2023 09:40:30 AM


Document Has Been Signed on 01/23/2023 09:40 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833



FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
343605614
ADMINISTRATOR:JANELL NICHOLSFACILITY TYPE:
850
ADDRESS:2555 MILLCREEK DRIVETELEPHONE:
(916) 648-1061
CITY:SACRAMENTOSTATE: CAZIP CODE:
95833
CAPACITY:96CENSUS: 44DATE:
01/19/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Danyel CheathonTIME COMPLETED:
02:15 PM
NARRATIVE
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On 01/19/2023, at approximately 9:00AM, Licensing Program Analyst (LPA) Arianna Manabat conducted a case management visit based on observations observed while present in the facility. Upon arrival, LPA observed 44 children, supervised by 13 staff and Director and Assistant Director.

During the inspection, LPA Manabat conducted interviews with five staff members and attempted two children's interviews. During interviews, it was stated that the facility had been operating out of ratio from approximately 9:05am to 9:30am. Record reviews indicate that room E had a total of 14 children at one time until Child 1 and 2 (C1) and (C2) were moved to room D at 9:30.

At approximately 10:35am, LPA Manabat was present in room E and observed Child 3 (C3) open the classroom door and exit the classroom into the hallway while staff 1 (S1) was attending to two children who were standing on stacked wicker bins approximately two feet high. At approximately 10:40am LPA observed two children running in the classroom and climbing onto stacked cots. S1 was able to ask the children to climb down but could not physically attend to the children as S1 was supervising seven other students at the time. At approximately 10:45am, LPA Manabat observed three children enter into the classroom restroom unattended for approximately thirty seconds. During this incident, S1 was able to open the restroom door and ask the children to leave the restroom as the children were utilizing this space as activity space. Lastly, it was stated that a child (C4) had exited the classroom and into the playground at approximately 10:00am.

After the incident, LPA observed Director interact with C3 and C4 and was able to redirect the children by staying with them for approximately five minutes and helping them to successfully reenter into the classroom. C3 then had to be taken out again and the Director was able to assess situation and allow the child to play successfully in a 1:1 environment for approximately 45 minutes.

CONTINUED ON LIC809-C.......
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Arianna ManabatTELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 343605614
VISIT DATE: 01/19/2023
NARRATIVE
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Based on observations, interviews with staff members, and record review, LPA Manabat has determined that the facility has operated out of ratio and that there has been a lack of supervision, which is an immediate risk to children in care. The facility has been assessed two Type A deficiencies for the violations mentioned above. Deficiencies are listed on the following 809D page.

Director acknowledges, that for TYPE A DEFICIENCIES ONLY upon receipt, Directors shall post LIC 9099-D with Type A deficiency for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the Directors. LIC9224 and Appeal Rights were provided. An exit interview was conducted and a Notice of Site Visit posted.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Arianna ManabatTELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/23/2023 09:40 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833


FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 343605614

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/19/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/20/2023
Section Cited

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement was not met, evidenced by:
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Director has implemeneted a behavioral plan for children regarding opening the doors. Director is currently hiring staff members to provide more supervision in the classroom. Director will send LPA action plan signed by parents.
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 Based on observations and staff interviews, staff are unable to provide 100% supervision to children which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
01/20/2023
Section Cited

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101216.3 (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance… this requirement was not met as evidenced by:
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Director has ordered radios to ensure effective communication. LPA will conduct a POC visit.
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Based on interviews, the facility did not comply with the above regulation as staff cared for more than the alloted amount 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.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Arianna ManabatTELEPHONE: (279) 200-2886
LICENSING EVALUATOR SIGNATURE:
DATE: 01/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/19/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3