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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600636
Report Date: 07/02/2021
Date Signed: 07/02/2021 12:09:16 PM

Document Has Been Signed on 07/02/2021 12:09 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: 76DATE:
07/02/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Kelly Parry, DirectorTIME COMPLETED:
11:30 AM
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On 07/02/2021 at 10:15 a.m., Licensing Program Analyst (LPA), Michelle Hood made an unannounced visit to follow up on a self reported incident that occurred on 06/29/2021, wherein a 3 (Child #1) and 3 1/2-year-old (Child #2) were observed by inappropriately touching.

LPA interviewed the Director, two (2) staff, and two (2) daycare children. This incident occurred in the classroom by the entry door. There was two (2) teachers and approximately 11 children at the time of incident. Additional information was obtained during today's visit that requires further follow-up. LPA will complete follow-up and decide whether there has been a regulatory violation. An Unusual incident report was filed with Community Care Licensing within the required reporting period.

An exit interview was conducted with director.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2021
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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