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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191801302
Report Date: 07/18/2023
Date Signed: 07/18/2023 03:09:15 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/09/2023 and conducted by Evaluator Jeanette Estrada
COMPLAINT CONTROL NUMBER: 54-CC-20230609123134
FACILITY NAME:CHILDTIME CHILDRENS'S CENTERFACILITY NUMBER:
191801302
ADMINISTRATOR:ANA FRAGOSO-TOVALINFACILITY TYPE:
830
ADDRESS:4820 S. EASTERN AVE. SUITE #FTELEPHONE:
(323) 721-0552
CITY:LOS ANGELESSTATE: CAZIP CODE:
90040
CAPACITY:24CENSUS: 21DATE:
07/18/2023
UNANNOUNCEDTIME BEGAN:
11:28 AM
MET WITH:Director Ana Fragoso TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Classroom operating out of ratio.
INVESTIGATION FINDINGS:
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On 7/18/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced complaint inspection to the above facility. LPA met with Director Ana Fragoso and informed of the reason for the visit. Present were eight children and two teachers in the infant classroom, six children and two teachers in the toddler1 classroom and seven children and two teachers in the toddler 2 classroom.

During the course of the investigation LPA conducted interviews with staff including teachers and the Director. LPA also reviewed records such as the Face to Name transition sheets and sign in/sign out sheets for the month of June 2023. Per the record review of the Face to Name transition sheets, the Toddler 2 classroom was identified as being over ratio on various dates in the month of June 2023. Staff and Director disclosures also confirmed that the facility has operated out of ratio. Per Staff and Director, the facility has operated out of ratio due to staff shortages.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
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 54-CC-20230609123134
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDTIME CHILDRENS'S CENTER
FACILITY NUMBER: 191801302
VISIT DATE: 07/18/2023
NARRATIVE
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Based on record review and interview, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

A type A deficiency is being cited today in accordance with California Code of Regulations Title 22: regulation 101416.5(b) Staff – Infant Ratio. This is a repeat violation originally cited on 4/21/23 and a civil penalty of $250 is assessed today.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

This report along with a copy of the appeal rights was provided. Exit interview was conducted with Director Ana Fragoso.

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SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 54-CC-20230609123134
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDTIME CHILDRENS'S CENTER
FACILITY NUMBER: 191801302
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2023
Section Cited
CCR
101416.5(b)
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Staff-Infant Ratio:(b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as evidenced by: based on record review and staff disclosure, the facility operated out of ratio on at least two dates in the month of June 2023.
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Director stated two staff have been hired to work in the infant program. LPA observed the two staff during the visit. Per Director, an additional staff is in the process of being hired. Director provided staff schedule identifying 7 staff available that work in the infant program.
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Director confirmed that the facility has operated out of ratio.
This is an immediate risk to children in care.
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Two staff are scheduled per classrooom, and one addtional staff is available to assist where needed. Director provided a written statement confirming that there will be 25 children enrolled in the infant program on differing schedules.
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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.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4