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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334808528
Report Date: 05/24/2023
Date Signed: 05/24/2023 12:02:53 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2023 and conducted by Evaluator Cindy Hamilton
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20230512110248
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
334808528
ADMINISTRATOR:ABBY LEWISFACILITY TYPE:
830
ADDRESS:27321 NICOLAS ROADTELEPHONE:
(951) 693-4843
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:24CENSUS: 22DATE:
05/24/2023
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Abbey Lewis, DirectorTIME COMPLETED:
11:39 AM
ALLEGATION(S):
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Staff dropped infant in care.
INVESTIGATION FINDINGS:
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On May 24, 2023, at 9:20 AM, Licensing Program Analyst (LPA) Cindy Hamilton met with Childtime Children’s Center (CCC) Director Abbey Lewis to deliver the findings of the above stated allegation. On May 17, 2023, LPA Hamilton conducted a health and safety inspection of the facility and no immediate concerns were noted. During the investigation, LPA obtained copies of pertinent documents from children and staff records and conducted interviews with staff and parent.

On May 12, 2023, Community Care Licensing (CCL) received information stating staff dropped an infant in care. It was alleged that an infant was dropped twice and there was no disciplinary action for staff. Confidential interviews and records review confirmed the incident occurred on March 24, 2023. Confidential interviews resulted in conflicting information regarding the incident being provided to LPA. Confidential interviews disclosed that the child was being held at chest level when the child slipped or was dropped from the teacher’s arms resulting in child hitting head on the floor; whereas another confidential interview disclosed to LPA that the teacher was holding both of the child’s arms while the child was
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
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 3
Control Number 10-CC-20230512110248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 334808528
VISIT DATE: 05/24/2023
NARRATIVE
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standing, the teacher let one arm go and the child fell backward and hit child’s head on the floor. Confidential interview also disclosed that infant was being held by one arm as the staff attempted to assist another child with staff's other hand, resulting in the infant falling from staff's one-handed grasp to the floor. Confidential interviews also disclosed to LPA that the incident was an accident and no disciplinary action was taken. Confidential interviews revealed that the CCC's cameras were reviewed by Director and staff. LPA was unable to clarify how child fell from staff’s hold but confirmed that the child was dropped on at least one occasion.

Based on confidential interviews and records review, the preponderance of evidence has been met and the allegation that staff dropped an infant in care is substantiated. The facility is being cited for Title 22, Section 101223 (a)(2) Personal Rights which poses an immediate health, safety and/or personal rights risk to children in care.

An exit interview was conducted, a copy of this report and appeal rights were provided to Director. The Director was reminded that the Notice of Site visit must remain posted for 30 consecutive days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20230512110248
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 334808528
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2023
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Director has agreed to conduct training to all staff on personal rights, reporting & responding to incidents and adequate supervision. Director will provide proof of training and training agenda to LPA on or before POC due date via email.
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Based on confidential interviews and records review staff dropped child while holding in an unsafe manner
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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: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3