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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300610695
Report Date: 03/23/2023
Date Signed: 03/23/2023 01:57:05 PM

Document Has Been Signed on 03/23/2023 01:57 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
300610695
ADMINISTRATOR:SILVA, ANDREAFACILITY TYPE:
850
ADDRESS:13881 PROSPECT AVETELEPHONE:
(714) 544-6820
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY: 103TOTAL ENROLLED CHILDREN: 103CENSUS: 29DATE:
03/23/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:12 AM
MET WITH:Director Andrea SilvaTIME COMPLETED:
02:15 PM
NARRATIVE
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This is a follow-up proof of correction inspection that was made by Licensing Program Analyst (LPA) Romy Castanon and LPA Patricia Rivas. LPA Rivas arrived at 7:50 am and conducted a self-guided tour of the facility. Census was taken and there were 29 preschool children with 4 staff members. LPA Rivas met with Director Andrea Silva at 8:30 am. LPA Castanon arrived at 8:40 am.

A review of the Facility Personnel Report Summary on 03/23/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions,

A visit was conducted on 03/09/2023. The following deficiencies that were previously cited on 03/09/2023 has been cleared:

1. 101238(a)(1) Buildings and Grounds – Assistant Director Aimee Valentin provided LPA with calendar including dates of pest management company appointments to continue monitoring pests in the facility.
2. 101219(f) Admission Agreements – Assistant Director manages the inventory checklist she created. LPA interviewed staff members present and confirmed the demand for supplies is being met.

LPA observed the Notice of Site Visit only. LPA did not observe the Facility Evaluation Report and the LIC 809D from the visit on 03/09/2023 posted by the main entrance in the office. The facility is not within compliance of 1596.8595 Health & Safety Code. A civil penalty is being assessed today.

Upon receipt, licensee shall post 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. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file.

Exit interview conducted and report was reviewed with Director Andrea Silva. Appeal Rights were discussed. A notice of site visit was given and must remain posted for 30 days. (End of Report)

SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023
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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Document Has Been Signed on 03/23/2023 01:57 PM - It Cannot Be Edited


Created By: Romelia M Castanon On 03/23/2023 at 12:44 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
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 300610695

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/24/2023
Section Cited
HSC
1596.8595(a)(3)

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1596.8595(a)Each licensed child day care facility shall post a copy of any licensing report pertaining to the facility that documents...remain posted for 30 consecutive days. (3) Failure to comply with paragraph (1) shall result in an immediate civil penalty of one hundred dollars ($100).
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Director posted facility evaluation reports dated 03/09/2023 during LPA's visit. Director will follow regulations, as well as, health and safety codes regarding posting of reports provided by licensing.
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This requirement is not being met as evidenced by LPA's observations, no reports provided to facility during visit on 03/09/2023 were posted, this is an immediate health and safety risk to persons 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:Rina Lopez
LICENSING EVALUATOR NAME:Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:
DATE: 03/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/23/2023


LIC809 (FAS) - (06/04)
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