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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270267
Report Date: 08/01/2024
Date Signed: 08/01/2024 01:11:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/26/2024 and conducted by Evaluator Sarah Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240626115643
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
304270267
ADMINISTRATOR:VASQUEZ, JENNYFACILITY TYPE:
830
ADDRESS:705 EAST BIRCH STREETTELEPHONE:
(714) 256-2010
CITY:BREASTATE: CAZIP CODE:
92821
CAPACITY:52CENSUS: 34DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Education manager, Briana SolarioTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee does not take adequate measures to prevent outbreaks in the facility.
Licensee did not report outbreak in a timely manner.
Licensee allows children with illness to return to the facility.
Licensee does not isolate children with illness.
INVESTIGATION FINDINGS:
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*This page is amended to mark public*
On 8/1/24 at 10:40am, Licensing Program Analyst (LPA), Sarah Garcia conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 7/3/2024. Upon arrival, LPA met with education manager, Briana Solario. Education manager guided LPA on a walkthrough of the facility. Census was taken and LPA observed a total of 34 infants with 10 staff. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 6/26/24 alleging Licensee does not take adequate measures to prevent outbreaks in the facility, Licensee does not report outbreaks in the facility, Licensee allows children will illness to return to the facility, and Licensee does isolate children with illness.
(Continue to page 2)
Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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 6
Control Number 06-CC-20240626115643
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 304270267
VISIT DATE: 08/01/2024
NARRATIVE
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(Page 2)
Reporting Party (RP) states, “I am worried about the whole infant and toddler section… hand foot mouth has been going around for over a month now, when staff reports that a child has developing symptoms the issues are just bypassed. Management… knowingly allowed a child to come into the facility to continue to spread the hand foot mouth disease.”
During the investigation, LPA Garcia interviewed 6 staff, 5 parents, reviewed relevant documentation, physician’s notes, facility roster, LIC 624, Health bulletin, facility procedures, parent handbook, personnel report, and further relevant documentation.

During staff interviews on 7/3/24, Staff 1 (S1) stated, “I haven’t not received any information about the illness going on.” S1 stated, “When we try to bring in the attention to the child that this child does not feel well. Some people disregard it, and it is up to the me and my co-teacher to contact the parents so the parents pick their child up...” S1 stated, “If management would take more seriously with the illness going around because if they do not take care of it. It would be up to my co teacher and I about the illness. If only they can communicate with us if they are absent or present. They expect us to have certain numbers a day and what they expect, and they do not inform us that the child will be absent. It is my co teachers’ responsibility to know if they are present or not....”

Staff 2 (S2) stated, “It is a very irritating subject. I have read the handbook because I am a parent here. If it is diarrhea, it is 24 hours. I am not sure of the policy for HFM. We have several and they allow them to come in...” S2 stated, “I have been here since... and they did not train me because the other teacher stopped coming. What I was told to do if they have diarrhea... I will inform admin and they inform parents. There would be times that the administration would forget to call.” S2 stated, “S6’s response was everybody has it, so it doesn’t matter. I am concerned on how management deals with everything.”

Staff 3 (S3) stated, “.... It was excessive and we got many confirmed cases. We have brought it up. I have asked [management] and why we are not doing a bulletin to let them know there is any outbreak. They didn’t tell us. No documentation they have been letting us know through the Sprout about app.”

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

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 06-CC-20240626115643
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 304270267
VISIT DATE: 08/01/2024
NARRATIVE
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(Page 3)
Staff 4 (S4) stated, “If the parents pick up the child, we let them know. We do an incident report as an illness, and we let parents sign that and sign one for the office.” ”We sanitize the room every night. We clean our toys with bleach water solution. We wash them in water and let them sit over night in bleach water solution. We switch out the toys. Sometimes they [infants] are quicker, and they get to it because of the illness going on. We sanitize all the surfaces. We sanitize the sleeping spaces, there cribs and cots.” S4 stated, “There’s 4 or 5 confirmed cases and the parents were informed that there were particular cases. There was an email when it first started... but it did not hit our rooms until last week. We told parents as an FYI that we got conformation [of the illness]”
Staff 5 (S5) stated, “We don’t isolate them. They tell us to call and tell us not to isolate children in general and never leave them unattended. There is no way to isolate them in here.” S5 stated, “Now that we have observed it the staff tells the parents just in case they did not call. Because I feel like we communicate it up front it does not get delivered in the time frame that it should, and it gets put off and that is why it is spreading. They have been letting children roam around without informing parents because they don’t want them to go home.” Staff 6 (S6) stated, “They are supposed to send out a bulletin for all the parents and they have not done that recently. That is what they are supposed to do if it gets really bad.” S6 stated, “Honestly when we let them know I do not know if it is documented. We write and observation from of anything then happened rash and...we keep it on file. They document illness that’s spread but I am not sure if they do that. Our protocol is to message parents if they need to of any documentation done. I am not sure of the protocols that they take.” Staff 6 (S6) stated, “Management checks the child, calls the parents, writes and observation log, we write it is an symptom of, we write they need to be cleared by a physician or symptom free for 24 hours. Our rule is that they [parents] need to be 1 hour.” When asked about the isolation area, S6 stated, “Right here in my lap. If they are getting picked up and I do not take them out of the room. I bring them up here and bring them on their lap.” 5 out of 6 staff stated there is no isolation area for children with illness.

During the course of investigation, LPA received evidence confirming 9 cases of Hands, Foot, and Mouth (HFM) between the dates, 6/14/24-06/17/24. LPA received unusual incident report (LIC 624) regarding the epidemic on 7/3/24. On 7/12/24, LPA received report of an infant vomiting on 7/11/24 at approximately 3:00pm. Based on review of sign in and sign out sheets, the infant returned to the facility on 7/12/24 at 9:26am.
(Continue to page 4)
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 06-CC-20240626115643
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 304270267
VISIT DATE: 08/01/2024
NARRATIVE
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(Page 4)
LPA Garcia contacted 5 parents. 3 out of 5 parents made no disclosures about the allegations.
Based on LPA’s staff interviews and record review, it has been determined Licensee does not take adequate measures to prevent outbreaks in the facility, Licensee allows children will illness to return to the facility, Licensee does isolate children with illness, and facility did not report this incident to the Department in a timely manner. The preponderance of evidence standard has been met; therefore, the above allegation(s) are found to be Substantiated. California Code of Regulations, Title 22, Section 101226.1 (a)(1) Daily Inspection for Illness, 101218.1 (2)(B) Admission Procedures and Parental and Authorized Representative's Rights, 101426.2 (b) Infant Care Isolation for Illness, and 101212(d)(1)(C) Reporting Requirements are being cited on the attached LIC9099D. LPA discussed and provided education manager the Title 22 regulations Sections 101426.2 Infant Care Isolation for Illness, 101226.1 Daily Inspection for Illness, 101226 Health related services, 101226.3 Observation of the child, 101221 Child’s records, and 101212 Reporting Requirements.

LPA Sarah Garcia informed education manager, Briana Solario, that this report dated 08/01/2024 documents (2) Type A citation(s) 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 education manager, Briana Solario, to provide a copy of this licensing report dated 08/01/2024 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 conducted and report was reviewed with the education manager, Briana Solario. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Appeal Rights were explained. Education manager, Briana Solario was provided a copy of appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the regional manager to the address listed above.
End of Report
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 06-CC-20240626115643
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 304270267
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/07/2024
Section Cited
CCR
101226.1(a)
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101226.1 Daily Inspection for Illness
(a) The licensee shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.
This requirement was not met as evidenced by:
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Education manager agreed to create and conduct a training on health and observation checks for all facility staff. Director will inform parents of health and observation checks. Director will submit staff sign in sheet and training agenda
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Based on interviews and record review, on 7/12/24, LPA received report of an infant vomiting on 7/11/24 at approximately 3:00pm. Based on review of sign in and sign out sheets, the infant returned to the facility on 7/12/24 at 9:26am. This is an immediate health and safety risk to the children in care.
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 by 5pm on 8/7/24 and submit to LPA email sarah.garcia@dss.ca.gov.



Type A
08/07/2024
Section Cited
CCR
101426.2(b)
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101426.2 Infant Care Isolation for Illness (b) The isolation area shall be equipped with a crib, cot, mat or playpen for each ill infant.
This requirement was not met as evidenced by:
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Director agreed to isolate children who are showing signs of illness to prevent communicable disease. Administration staff will submit declaration stating they understand the regulation and send to LPA email by 5pm 8/7/24.




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Based on interviews and record review, facility did not isolate infants showing signs of illness to an isolation area during the HFM outbreak between 6/3/24-7/30/24. This is an immediate health and safety risk to the 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 06-CC-20240626115643
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 304270267
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/07/2024
Section Cited
CCR
101212(c)
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101212 Reporting Requirements (c) ...During the operation of the child care center... a report shall be made to the Department by... next working day...In addition, a written report containing the information specified...This requirement was not met as evidenced by:
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Administration agreed to watch CDSS video and conduct a training for all facility staff on reporting requirements. Education manager agreed to send agenda, sign in sheet, and administration declarations to sarah.garcia@dss.ca.gov by 5pm on 8/7/24.
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Based on interviews and record review, Facility did not report the HFM outbreak which began 6/3/24 to the Department in a timely manner. Facility reported the HFM outbreak during the 10-day initial visit on 7/3/24. This is a potential health and safety risk to the children in care.

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Type B
08/07/2024
Section Cited
CCR
101218.1(a)(1)(B)
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101218.1 Admission Procedures and Parental and Authorized Representative's Rights (a) In accordance with the child care center's....(2) procedures, activities, services...(B) procedures...should the child become ill...This requirement was not met as evidenced by:

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Administration agreed to review Title 22 regulations provided by LPA Garcia, conduct an all-staff training and send sign in sheets and training agenda to sarah.garcia@dss.ca.gov by 5pm on 8/7/24.



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Based on interviews and record review, the facility did not follow admission protocol by accepting children with illness and not utilizing an isolation area during the HFM outbreak between 6/3/24-7/30/24. This is a potential health and safety risk to the 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6