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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501406
Report Date: 06/24/2024
Date Signed: 06/25/2024 11:04:42 AM

Document Has Been Signed on 06/25/2024 11:04 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
191501406
ADMINISTRATOR/
DIRECTOR:
PAM DEEMFACILITY TYPE:
830
ADDRESS:1418 S. VEGATELEPHONE:
(626) 289-3823
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 6DATE:
06/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Pam DeemTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Pam Deem.

The purpose of the inspection conducted on this date was to verify information from an incident report submitted by the facility on 06/03/2024. During the inspection, LPA Lee made observations, reviewed records, and conducted interviews in regards to the incident.

On 05/28/2024 at around 11:00AM, Child#1 was observed in the toddler play yard alone by Staff#3. Child#1 was returned to their respective classroom by Staff#3. Staff#3 stated that they walked outside right after observing the toddler class walk back into to their classroom. After walking outside, Staff#3 spotted Child#1 in the toddler yard immediately. Based on these facts, the facility estimated that Child#1 was alone in the toddler play yard for about 30 seconds to 1 minute. The two staff members for the Toddler classroom, Staff#1 & Staff#2, stated that they did not notice that Child#1 had separated from the group since another child in the classroom needed assistance with something. LPA Lee observed that both Staff#1 and Staff#2 were written up on 06/14/2024 by the facility.

Based on the information provided by the incident report submitted and information obtained during this inspection, LPA Lee determined that facility staff in the toddler classroom did not provide adequate supervision resulting in Child#1 being left alone in the toddler play yard for about 30 seconds to 1 minute. This is an immediate risk to children in care. Deficiencies being cited is in accordance with title 22 regulations for child care centers.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 191501406
VISIT DATE: 06/24/2024
NARRATIVE
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The notice of site inspection and all pages of this report must remain posted for a period of 30 days during hours of operation. Failure to maintain postings for 30 days will result in a civil penalty of $100.00 dollars.

Facility was advised that parents of children currently enrolled in the toddler program and any future parents that enroll in the program for 1 year must be provided with an LIC 9224 to sign and return back to the facility.
Exit interview conducted with Director Pam Deem. Appeal rights discussed and explained.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/25/2024 11:04 AM - It Cannot Be Edited


Created By: Seung Lee On 06/24/2024 at 12:24 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDTIME CHILDREN'S CENTER

FACILITY NUMBER: 191501406

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/28/2024
Section Cited
CCR
101229(a)(1)

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by the fact that Child#1 was left alone in the toddler play yard for
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The Director stated that all staff will be given addtional training 06/27/2024. for all stafff which includes supervision. The 2 staff members will be given additional training. Proof of POC will be provided by the POC date.
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about 30 seconds to 1 minute on 05/28/24. This is an immediete risk to 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:Claudia Guangorena
LICENSING EVALUATOR NAME:Seung Lee
LICENSING EVALUATOR SIGNATURE:
DATE: 06/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/24/2024


LIC809 (FAS) - (06/04)
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