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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600636
Report Date: 06/15/2021
Date Signed: 06/15/2021 03:44:25 PM

Document Has Been Signed on 06/15/2021 03:44 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:CHILDTIME CHILDREN'S CENTER-CHULA VISTAFACILITY NUMBER:
376600636
ADMINISTRATOR:KELLY PARRYFACILITY TYPE:
850
ADDRESS:770 RANCHO DEL REY PARKWAYTELEPHONE:
(619) 397-0165
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 129TOTAL ENROLLED CHILDREN: 0CENSUS: 22DATE:
06/15/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Kelly Parry, DirectorTIME COMPLETED:
03:50 PM
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On 06/15/2021 at 3:00 p.m., Licensing Program Analyst Michelle Hood conducted an unannounced follow-up video-conference inspection via Team Meeting, due to the COVID-19 outbreak, with Director. On 05/28/2021 at approximately 8:00 a.m a self-reported incident occurred wherein a child stated they were pinched by a staff.

LPA interviewed Director. Staff is no longer with the school. There was one teacher and approximately 8 children at the time of the incident. Additional information was obtained during today's inspection that requires further follow-up. LPA will complete follow-up and decide whether there has been a regulatory violation.

No deficiencies were observed in the areas inspected during today's inspection. A copy of this report and appeal rights (LIC 9058) will be emailed to the director and the director was advised that acknowledgment and receipt of the report and appeal rights is to be received within twenty-four hours. Director was advised to post the LIC 9213 for 30 days. An exit interview was conducted with the director.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2021
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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