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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360910509
Report Date: 08/23/2024
Date Signed: 08/23/2024 10:35:02 AM

Document Has Been Signed on 08/23/2024 10:35 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
360910509
ADMINISTRATOR/
DIRECTOR:		CHARLENE BUNNELL-MCALISTERFACILITY TYPE:
830
ADDRESS:3656 RIVERSIDE DRIVETELEPHONE:
(909) 591-9169
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY: 32TOTAL ENROLLED CHILDREN: 27CENSUS: 16DATE:
08/23/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Charlene Bunnell-Mcalister TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to conclude the investigation regarding an Unusual Incident Report (UIR) that was received from the facility on 07/15/2024. LPA met with Charlene Bunnell Mcalister, Director, conducted a tour of the facility, took census, and disclosed the findings of the investigation conducted, which were as follows:

On 07/12/24, Community Care Licensing (CCLD) received a call on the duty line from the Assistant Director, Tina Hurtado to self report an incident that occurred at the center on 07/11/2024. Unusual Incident Report (UIR) was written and received on 07/15/2024. The report disclosed that staff did not provide adequate supervision resulting in an infant having an object in their mouth for an undisclosed amount of time. Interviews conducted with pertinent individuals revealed that staff was unaware that an infant in care had obtained a piece of broken linoleum from the floor belonging to the laundry room located in the infant room and put it in their mouth. When the responsible party (RP) of the infant arrived at the facility for pick up, the object was not seen in the infant's mouth. it was not till the RP arrived at home with the infant, the object was discovered, The RP immediately called the facility and took the infant to seek medical attention in the case that a piece of the object was swallowed by the infant. A picture was obtained of the object and it matched the broken flooring in the laundry room at the facility.


Based on interviews with pertinent parties and records obtained throughout the investigation, the department has determined the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2024
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 08/23/2024 10:35 AM - It Cannot Be Edited


Created By: Rachel Zeron On 08/21/2024 at 05:50 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 CENTER
FACILITY NUMBER: 360910509

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/24/2024
Section Cited
CCR
101429(a)(1)

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Responsibility for Providing Care and Supervision for Infants:In addition to Section 101229, the following shall apply:Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not being met as evidentced by:
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Director agrees to conduct training with all infant staff on the importance of supervision. Licensee agrees to submit proof of training which shall include a copy of the training agenda and attendance sheet. This is due to the LPA by POC date.
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Based on information obtained, staff failed to ensure infants in care were supervised at all times resulting in an infant putting a small object in their mouth.This poses an immediate health, safety, and personal rights risk to 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.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Rachel Zeron
LICENSING EVALUATOR SIGNATURE:
DATE: 08/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/21/2024


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 360910509
VISIT DATE: 08/23/2024
NARRATIVE
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LPA issued a Notice of Site Visit and verified it was posted in a prominent location. The Director understands that the Notice of Site Visit must remain posted for the next 30 days along with a copy of all Type A deficiencies cited. A copy of all Type A deficiencies cited during this visit must also be immediately (within 24 hours of child’s next day in care) given to the parents of all children enrolled in the child care facility and any children enrolled into the child care facility over the next 12 months (at the time of enrollment). The Director is required to have all parents sign and date the Acknowledgement of Receipt of Licensing Reports (LIC9224) and maintain a copy in each child’s file.

An exit interview was conducted with the director, Charlene Bunnell-McAlister and a copy of this report, LIC9224 and Appeal Rights (LIC9058) were provided.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC809 (FAS) - (06/04)
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