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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 313605616
Report Date: 05/21/2021
Date Signed: 05/21/2021 10:53:20 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/08/2021 and conducted by Evaluator Katrina Owens
COMPLAINT CONTROL NUMBER: 03-CC-20210408155850
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
313605616
ADMINISTRATOR:SHATARA, CRYSTALFACILITY TYPE:
830
ADDRESS:1267 PLEASANT GROVE BLVD.TELEPHONE:
(916) 783-0443
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:44CENSUS: 14DATE:
05/21/2021
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Hanna Adams - Assistant DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
LACK OF SUPERVISION: Facility staff are not providing adequate supervision of the infants in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
An unannounced telephone call was made by Licensing Program Analyst Owens due to Covid-19. LPA Owens spoke with Hanna Adams, Assistant Director. The purpose of the telephone call is to close a complaint investigation that was originally opened on April 19, 2021.

Based on conflicting interviews, the allegation that facility staff are not providing adequate supervision, allowing infants to cry for an extended period of time, while in care is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur.

An exit interview was conducted. Appeal rights were emailed and explained to the Director.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Keven Peters
LICENSING EVALUATOR NAME: Katrina Owens
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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