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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343624159
Report Date: 09/18/2025
Date Signed: 09/18/2025 02:15:46 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2025 and conducted by Evaluator Erwina Pascual-Golamco
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20250814154257
FACILITY NAME:CHILDTIME LEARNING CENTERFACILITY NUMBER:
343624159
ADMINISTRATOR:SAMS, KATHERINEFACILITY TYPE:
850
ADDRESS:101 HAZELMERE DRIVETELEPHONE:
(916) 984-3800
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:108CENSUS: 38DATE:
09/18/2025
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Katherine SamsTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst Erwina Pascual-Golamco (LPA) met with Facility Representative Katherine Sams (FR) for the purpose of closing a complaint investigation of the above allegation.
Throughout the course of investigation, LPA conducted observations, reviewed records, and conducted interviews. At approximately 8:05AM on 08/20/25, during LPA’s initial complaint visit, LPA observed a census of 14 children and 2 staff in the Early Preschool Classroom. However, a child enrolled in the Toddler Option program was included in the ratio that day, and a ratio of six children to each teacher should be maintained for all children in attendance at the toddler option program. Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED.
A Title 22 deficiency is cited on LIC 9099-D. Exit interview was conducted and report was reviewed with Facility Representative, Katherine Sams. Appeal rights were provided. Notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
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 2
Control Number 03-CC-20250814154257
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CHILDTIME LEARNING CENTER
FACILITY NUMBER: 343624159
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/02/2025
Section Cited
HSC
1596.955(a)(3)
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1596.955 Child day care centers serving preschool age children; optional program; departmental guidelines and regulations (a) The department shall develop guidelines and procedures...program component for children between 18 months to three years of age. This optional toddler program shall be subject to the following basic conditions: (3) A ratio of six children to each teacher is maintained for all children in attendance at the toddler program...this requirement is not met as evidenced by:
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Facility Representative (FR) stated she has scheduled staff to open and close Toddler 2 classroom. FR stated they stopped combining Toddler option with preschoolers. LPA also will conduct a Plan of Correction visit.
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on 08/20/25, during LPA’s initial complaint visit, LPA observed a census of 14 children and 2 staff in the Early Preschool Classroom. However, a child enrolled in the Toddler Option program was included in the ratio that day, and a ratio of six children to each teacher should be maintained for all children in attendance at the toddler option program.
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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: Jeevun Birk-Miller
LICENSING EVALUATOR NAME: Erwina Pascual-Golamco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2