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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370806455
Report Date: 08/30/2023
Date Signed: 08/30/2023 04:08:11 PM

Document Has Been Signed on 08/30/2023 04:08 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
370806455
ADMINISTRATOR:DEANNE ROMEROFACILITY TYPE:
830
ADDRESS:5565 LAKE PARK WAYTELEPHONE:
(619) 460-0310
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY: 24TOTAL ENROLLED CHILDREN: 16CENSUS: 15DATE:
08/30/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Deanne RomeroTIME COMPLETED:
04:20 PM
NARRATIVE
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On 8/30/2023, at 2:45 pm., Licensing Program Analyst (LPA) Vicky Williamson conducted an unannounced case management inspection regarding a self - reported incident. LPA met with Director, Deanne Romero. LPA discussed the purpose of the inspection and was led on a tour of the facility. The following ratios were observed: Infant Classroom 1 had seven (7) infants with two staff and the Toddler Classroom had eight (8) infants with (2) staff.

Director stated that on 8/7/2023 at 2:00pm there were two staff and 7 children in the infant classroom during the time of incident. Staff 1(S1) was supervising three infants in the napping area of the classroom, two of whom were napping. Staff 2 (S2) was supervising four (4) infants including Child 1 (C1). Director stated that C1 pushed open the unlocked door inside of the classroom that leads outside to the infant playground. Staff 3 (S3) observed C1 on the playground from the hallway outside of the classroom through a window inside of the classroom. Per Director, C1 was on the playground for approximately 10 minutes without supervision. LPA observed that the infant playground is located directly outside the classroom and has a locked gate entrance.

Interviews were conducted with the director, assistant director, staff and authorized representative for C1. A review of video footage disclosed that C1 walked out of the classroom to the infant playground unattended. C1 was on the playground without supervision for 11 minutes. Interviews revealed that the door was left partial open after staff discarded a soiled diaper into the trash can outside of the classroom door. S3 observed C1 on the playground and brought C1 to the Director’s office. S3 stated that C1 was observed to be crying, however no medical attention was required. Director stated that C1's authorized representative was contacted immediately. Director stated that staff have been retrained on face to name procedures and each staff has been provided a copy of the instructions. Director stated that she and Assistant Director, Cristina Daniels are observing the infant classrooms to assure that the staff are following the face to name procedures. Director stated that a safety gate has been placed at the door leading out to the playground. See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 370806455
VISIT DATE: 08/30/2023
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Based on interviews and video footage, a Type A deficiency of California Code of Regulations, Title 22, Division 12, Chapter 1, is being cited on the attached LIC 809D.

LPA informed Director, Deanne Romero that this report dated 8/30/2023 documents one (1) Type A citation, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed Director to provide a copy of this licensing report dated 8/30/2023 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. LPA provided Director, Deanne Romero with form LIC 9224.

An exit interview was conducted with Director, Deanne Romero, a copy of this report along with the Appeals Rights (LIC 9058) was provided. A Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. LPA observed Director post Notice of Site Visit on the bulletin board at the entrance.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/05/2023 02:37 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 09/05/2023 12:21 PM


Created By: Vicky Williamson On 08/30/2023 at 03:12 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 370806455

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/08/2023
Section Cited
CCR
101429(a)(1)

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This is an amended version of an original report created on 8/30/2023.
101429 (a)(1)Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidenced by:
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Director stated that she has retrained staff on supervision. Director stated that staff will view the video Supervising Children in Child Care Centers on CCLD website and submit a staff sign in sheet, also a written plan of correction for supervision procedure to the SDRO by 9/8/2023.
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Based on interview and record review, the licensee did not comply with the section cited above, as Child 1 (C1) exited the classroom alone and was found on the playground without supervision, which poses an immediate health, safety, and 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:Tulam Vu
LICENSING EVALUATOR NAME:Vicky Williamson
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2023


LIC809 (FAS) - (06/04)
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