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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376600636
Report Date: 06/28/2024
Date Signed: 06/28/2024 01:45:33 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
04/09/2024 and conducted by Evaluator Adrian Castellon
COMPLAINT CONTROL NUMBER: 20-CC-20240409085248
FACILITY NAME:CHILDTIME CHILDREN'S CENTER - CHULA VISTAFACILITY NUMBER:
376600636
ADMINISTRATOR:JESSICA DORNFACILITY TYPE:
850
ADDRESS:770 RANCHO DEL REY PARKWAYTELEPHONE:
(619) 397-0165
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:129CENSUS: 68DATE:
06/28/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jessica DornTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child sustained unexplained injuries
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 6/28/24, at 12:30 PM, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced complaint inspection to deliver the complaint investigation findings for the above allegation. LPA met with Director Jessica Dorn and discussed the purpose of today’s inspection. LPA interviewed children on this date.

This agency has investigated the above listed allegation. During the investigation, LPA conducted two facility inspections, interviews with facility staff, daycare parents, and children in care. There is insufficient evidence to support and no witnessess to corroborate the above allegation. Based on conflicting information, LPA was unable to determine whether or not, the above allegation occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview conducted and report was reviewed with licensees. A copy of this report, along with Appeal Rights (LIC9058), were provided. A Notice of Site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024
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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