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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300610697
Report Date: 02/27/2024
Date Signed: 02/27/2024 12:37:56 PM

Document Has Been Signed on 02/27/2024 12:37 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDTIME CHILDREN'S CENTER INC.FACILITY NUMBER:
300610697
ADMINISTRATOR:LOPEZ, AMERICAFACILITY TYPE:
850
ADDRESS:2839 VILLA REAL DRIVETELEPHONE:
(714) 637-2022
CITY:ORANGESTATE: CAZIP CODE:
92867
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 56DATE:
02/27/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director America LopezTIME COMPLETED:
12:50 PM
NARRATIVE
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On 2/27/2024 Licensing Program Analyst (LPA) A. Silva conducted an unannounced Case Management – Deficiencies visit to investigate an unusual incident. Upon arrival, the LPA met with Director America Lopez and informed them of the purpose of the visit. A review of the Facility Personnel Report Summary shows all facility staff or individuals who require caregiver background checks have received a criminal record clearance and a child abuse index clearance or an exemption clearance. The census at the time of the visit was 56 children (20 in the early preschool playground and 36 in the preschool playground) supervised by three staff in each playground.

The Department received an incident report on 2/15/2024 stating that on 2/14/24 Child #1 (C1) ran out of the playground and into an adjacent parking lot due to a faulty gate. According to the report, C1’s parent was in the parking lot and intercepted C1. Staff did not know the child ran out until they were notified by the child’s parent. No injuries were reported.

Interview with staff: On 2/27/2024, the LPA interviewed three staff, including two staff who were supervising children on the day of the incident. Staff #1 (S1) said the children were in the preschool playground supervised by two staff. S1 said he/she was facing the playground and the parking lot. Staff #2 (S2) said he/she was also present in the playground facing the playground toward far end of the parking lot. Both staff stated they did not see C1 run toward the gate or into the parking lot. S2 stated said the gate doesn’t fully self-latch sometimes. S2 said minutes before the incident he/she had observed C1’s parent park his/her vehicle in the parking lot. S1 and S2 did not see C1 run out and learned about it only when the child’s parent informed them. According to S3, C1 was able to pull the gate open from the ajar position. S3 stated the child knows how to open doors. The director stated a gate of about 3 feet in height with child-proof latch will be installed between the playground and the exit gate to prevent future incidents.
CONTINUE ON NEXT PAGE.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2024
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHILDTIME CHILDREN'S CENTER INC.
FACILITY NUMBER: 300610697
VISIT DATE: 02/27/2024
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Records Review: On 2/27/2024, the LPA obtained the following documents. A copy of the work order to fix the gate dated 2/14/24 showing the repair has been completed. A copy of the children attendance sheet showing the number of children and the staff present the day of the incident at around the time it happened. A copy of the email sent to parents reminding them to ensure the gate is latched when entering and existing. A copy of an Active Supervision training provided to staff (a staff attendance sheet was not available). A copy of the sing in/out report for 2/14/24.

LPA Observations: On 2/27/2024 LPA tested the gate’s ability to self-latch at multiple angles. The gate didn’t fully latch when released at angles smaller than 25 degrees. The gate fully latched when released at 45 and 90 degree angles.

Based on the LPA’s observations, interviews, and records, the following deficiency of Title 22 Division 12 was cited: CCR 101229 Responsibility for Providing Care and Supervision (SEE LIC809D ATTACHED)

LPA A. Silva informed Director America Lopez that this licensing report dated 2/27/2024 documents one “Type A” citation. Type A citation(s) must be posted for 30 consecutive days during the hours that children are in care as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. LPA A. Silva further informed Director America Lopez that a copy of this licensing report must be provided to parents or guardians of all clients currently enrolled by the next business day or by the next day the children are in care, a copy of this report must be provided to the parents or guardians of all newly enrolled clients for 12 months from the date of this report, and signed Acknowledgement of Receipt of Licensing Report (LIC 9224) form, or another written equivalent statement, must be placed in the child's file for verification of receipt of the report.

An exit interview was conducted with Director America Lopez. The Notice of Site Visit was posted during the visit. The director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First-level appeals should be sent to the regional manager to the address listed above.

END.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
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Document Has Been Signed on 02/27/2024 12:37 PM - It Cannot Be Edited


Created By: Archibaldo Silva On 02/27/2024 at 12:25 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 CHILDREN'S CENTER INC.
FACILITY NUMBER: 300610697

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/28/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Lack of supervision. No child(ren) shall be left without the supervision of a teacher at any time… Supervision shall include visual observation.
The licensee did not comply with the regulation above as evidenced by:
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The director stated the gate was repaired but the gate is not fully latching. The Director will put it another order for further repairs. The Director stated additional gates will be install between the playground and the exit gate.
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Based on interviews and records reviews, the licensee did not meet the regulatory requirements above, which poses an immediate risk to the health and safety of children in care. The staff did not visually supervise Child 1; Child 1 ran out of the playground into the adjacent parking lot. Staff did not know until the parent informed them the child got out.
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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:Patricia Magana
LICENSING EVALUATOR NAME:Archibaldo Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2024


LIC809 (FAS) - (06/04)
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