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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600636
Report Date: 09/16/2021
Date Signed: 09/29/2021 01:24:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/22/2021 and conducted by Evaluator Michelle Hood
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20210622115754
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:129CENSUS: 50DATE:
09/16/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kelly Parry, DirectorTIME COMPLETED:
02:35 PM
ALLEGATION(S):
1
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9
Daycare child sustained injury while in care due to absent supervision
INVESTIGATION FINDINGS:
1
2
3
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5
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8
9
10
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13
On September 29, 2021 at 12:30 p.m., Licensing Program Analyst (LPA) Michelle Hood arrived to conduct an unannounced inspection to deliver complaint findings. Upon arrival, LPA met with Director to discuss the above allegation.

During the course of the investigation, interviews were conducted with the director, staff, daycare children, daycare parents, and reporting party. Based on the information gathered and video evidence reviewed, on 06/07/2021, there were two (2) classrooms present on the playground with two (2) staff and approximately 22 daycare children. While Staff #1 (S1) was conducting name to face, Child #1 (C1) slipped while climbing down the PlayShaper three (2) step ladder, causing C1 to fall and land on the left arm. Staff #2 (S2) observed C1 in mid fall then assessed C1.

Due to conflicting statements obtained during the course of the investigation, the above allegation is found to be UNSUBSTANTIATED meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Director was provided appeal rights (LIC9058 01/16) and their signature on this form acknowledges receipt of these rights. Provided Notice of Site Visit. LPA observed that LIC 9213 was posted. No deficiencies cited. An exit interview was conducted with the director.

This is an amended report, original report dated 09/16/2021.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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