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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270266
Report Date: 10/03/2024
Date Signed: 10/03/2024 02:41:52 PM

Document Has Been Signed on 10/03/2024 02:41 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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
304270266
ADMINISTRATOR/
DIRECTOR:
VASQUEZ, JENNYFACILITY TYPE:
850
ADDRESS:705 EAST BIRCH STREETTELEPHONE:
(714) 256-2010
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY: 107TOTAL ENROLLED CHILDREN: 107CENSUS: 83DATE:
10/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Briana Solorio, Education ManagerTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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On 10/03/24 at 11:35am, Licensing Program Analyst (LPA) Sarah Garcia conducted a case management- incident visit in response to a self- reported unusual incident report (LIC 624) received on 8/22/24 regarding a child being left unattended. LPA met with Briana Solorio, education manager. A walk through of the facility was conducted, and a census was taken. Total census was 83 preschool children and 8 staff.

On 8/22/24 the facility reported to the Department that a child was not left on playground upon classroom coming into the classroom. The facility District Lead viewed video footage of incident and it was seen as the child being in the classroom. After going back and viewing the footage from a different angle and time lapse it was confirmed that Child 1 (C1) did walk in about a minute after the rest of the class. On 8/21/24, LPA received photo evidence of C1 unattended outside in the playground.

During today's visit LPA interviewed 4 staff, obtained child supervision records (CSR) for room 6 on 8/21/24, C1's LIC 700, facility incident report form, and 9/9/24 staff training agenda and sign in sheet. Staff 1 (S1) stated, "When I did a playground check again... I believe C1 was hiding behind a pillar. After I closed the door to the playground I did another head count after the scan. C1 was there. It had to be 30 seconds to a minute...I think C1 was hiding behind a pillar while we were counting. It was not an extensive amount of time... " Staff 2 (S2) stated, "They [District Lead] saw the footage and then saw for a second time, and what happened was that C1 was hiding behind a post and another teacher saw C1 alone. The teacher saw C1 from the toddler playground." Staff 3 (S3), "We went back and checked the footage. We went back through again... they did see that a child (C1) was left on that yard. We self reported a second time. "Staff 4 (S4) stated, "after reviewing the camera again we reported that C1 was left alone outside."

Continued Page 2

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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 COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 304270266
VISIT DATE: 10/03/2024
NARRATIVE
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Based on interviews and record review, on 8/21/24 C1 was left unattended on the outside preschool playground for approximately 30 seconds to a minute. According to Title 22, California Code of Regulations, Section 3, Chapter 4, 101229(a)(1) Responsibility for Providing Care and Supervision, (1) Type A deficiency will be cited today. See attached LIC 809D.

LPA Sarah Garcia informed facility representative, Briana Solorio that this report dated 10/03/24 documents (1) Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Sarah Garcia informed facility representative, Briana Solorio, to provide a copy of this licensing report dated 10/03/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview was conducted. The Notice of Site Visit was posted. Staff was advised the Notice of Site Visit must be posted for 30 days or $100 Civil Penalty will be assessed. Appeal rights provided.

End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/03/2024 02:41 PM - It Cannot Be Edited


Created By: Sarah Garcia On 10/03/2024 at 02:15 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

FACILITY NUMBER: 304270266

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision
"(a) The licensee shall provide care and supervision....
(1) No child(ren) shall be left without the supervision of a teacher at any time..."
This requirement was not met as evidenced by:
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Facility representative, Briana Solorio stated the facility conducted a name to face and transitions training. Facility representative willl submit the traning documents by 5pm on 10/17/24.
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Based on interviews and record review, Child 1 (C1) was left unattended in the outdoor preschool playground. C1 was not provided care and supervision during that time. This is an immediate risk to the health and safety, and personal rights 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:Patricia Magana
LICENSING EVALUATOR NAME:Sarah Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 10/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2024


LIC809 (FAS) - (06/04)
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