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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360910507
Report Date: 09/23/2022
Date Signed: 09/23/2022 03:59:37 PM

Document Has Been Signed on 09/23/2022 03:59 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDTIME CHILDREN'S CENTERSFACILITY NUMBER:
360910507
ADMINISTRATOR:CHARLENE BUNNELL-MCALISTERFACILITY TYPE:
850
ADDRESS:3656 RIVERSIDE DR.TELEPHONE:
(909) 591-9169
CITY:CHINO,STATE: CAZIP CODE:
91710
CAPACITY: 69TOTAL ENROLLED CHILDREN: 42CENSUS: 32DATE:
09/23/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Charlene Bunnell McalisterTIME COMPLETED:
04:15 PM
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During a complaint investigation visit, Licensing Program Analyst (LPA) Rachel Zeron, was made aware that the facility has a flea infestation, still ongoing. The facility failed to report the infestation on 09/19/2022 to Community Care Licensing (CCL) within the 24 hour period, when the Director became aware. The Director indicated that as of this date, Licensing has not been notified. The facility is in violation of reporting requirement and will be issued a citation.
It was also found that facility did not communicate to parents about the pest infestation or that fumigating was conducted. The facility is in violation of not reporting the infestation to the children's authorized representatives.

During the investigation, it was also revealed and observed that children in care had multiple insect bites on various parts of the body. Interviews revealed that the fleas were seen on different parts of children's bodies. The facility is in violation of personal rights for the children, to be accorded safe, healthful and comfortable accommodations.

See LIC809D for cited deficiencies. Civil penalties were assessed for repeat violations within a 12 month period. Appeal rights were discussed and a copy was provided.

An exit interview was conducted and a copy of this report was provided this date.

A notice if site visit was given and is required to be posted for the next 30 days
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2022
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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Document Has Been Signed on 09/23/2022 03:59 PM - It Cannot Be Edited


Created By: Rachel Zeron On 09/23/2022 at 02:40 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDTIME CHILDREN'S CENTERS
FACILITY NUMBER: 360910507

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/26/2022
Section Cited
CCR
101212(f)

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 Reporting Requirements
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

The requirement was not met as evidenced by:
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The Director agrees to stay in compliance communicating to child's authorized rep of any incident that falls under 10112(d) within 24 hours. Director agrees to send a notification of the infestation via "Spout About" and send of copy to LPA via email (rachel.zeron@dss.ca.gov) on or before the POC date
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Based on interviews conducted , the Director did not notify parents/authorized representatives of the pest infestation that occurred at the facility on or around 09/19/2022. This poses an immediate health, safety or personal rights risk to persons in care.
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Type A
09/26/2022
Section Cited
CCR101223(a)(2)

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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights:
To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
The requirement was not met as evidenced by:
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Director indicated that a written plan would be put into place to alleviate this type of situation occurring again in the future. Written plan is due to LPA Zeron by POC date.
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Based on interviews conducted, children in care had multiple flea bites on various parts of the body. Facility failed to provide a safe environment for the children in care.

This poses an immediate health, safety or personal rights risk to persons 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:Aaron Ross
LICENSING EVALUATOR NAME:Rachel Zeron
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2022


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/23/2022 03:59 PM - It Cannot Be Edited


Created By: Rachel Zeron On 09/23/2022 at 02:45 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDTIME CHILDREN'S CENTERS
FACILITY NUMBER: 360910507

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2022
Section Cited
CCR
101212(d)(1)(C)

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Reporting Requirements: a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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Director agreed to have an incident report sent to Licensing in regards to the infestation within 24 hours and agrees that all incidents noted under
section 101212 are to be reported to the department within 24 hours
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This requirement is not met as evidenced by:

Based on information received, the Child care center had an insect infestation and failed to report this to CCL.

This poses a potential health, safety or personal rights risk to persons 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:Aaron Ross
LICENSING EVALUATOR NAME:Rachel Zeron
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2022


LIC809 (FAS) - (06/04)
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