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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300611708
Report Date: 11/18/2021
Date Signed: 11/18/2021 01:33:26 PM

Document Has Been Signed on 11/18/2021 01:33 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 CHILDREN'S CENTER INC.FACILITY NUMBER:
300611708
ADMINISTRATOR:GUERECA, IRENEFACILITY TYPE:
850
ADDRESS:12421 SPRINGDALE STTELEPHONE:
(714) 894-4250
CITY:GARDEN GROVESTATE: CAZIP CODE:
92845
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 48DATE:
11/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:16 PM
MET WITH:Acting director Leisha DearingTIME COMPLETED:
02:00 PM
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On 11/18/2021, Licensing program analyst (LPA) Tina Nguyen conducted a case management visit to issue an amended facility evaluation report from the case management inspection dated August 24, 2021. LPA Nguyen met with Acting director Leisha Dearing and toured the facility. LPA observed 5 staff members providing care for 48 preschool children. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Please see "amended" deficiency report 809D dated 08/24/2021 for correction. On the inspection on 08/24/2021, LPA Nelson did not access civil penalty for absent of supervision, LPA Nguyen accessed $500 civil penalty for absent of supervision during today’s inspection.

After a tour of a facility, no deficiency was observed.

Exit interview was conducted. The notice of site visit was posted. Licensee was informed the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Tina Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2021
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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