CHILDTIME CHILDCARE, INC.

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

Type B citation - potential risk if not corrected

Type A citation - immediate risk to health, safety, or personal rights

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

Based on interviews and records review, facility staff served food to Child 1 that is indicated in Child 1’s record that Child 1 has a possible allergy to. This poses an immediate risk to the health, safety, or personal rights of children.

(b) The medical assessment shall provide the following: (2) Results of a test for tuberculosis.

(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area.

(b) The medical assessment shall provide the following: (2) Results of a test for tuberculosis.

(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

(d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children.

(d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children.

Type A citation from complaint investigation - immediate risk

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099-D. "Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months." The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents this date. A completed signed copy of the LIC 9224 will be placed in each child's file. An exit interview conducted with Director Kristina Diaz. A copy of this report and Appeal Rights were provided and discussed with Director. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days, along with a copy of this report. SUPERVISORS NAME: Alice Juarez LICENSING EVALUATOR NAME: Luisa Gavoutian LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2021 FACILITY NAME: CHILDTIME CHILDCARE, INC.FACILITY NUMBER: 100406618 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 11/01/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 11/02/2021 Section Cited CCR 101227(b)(7)(B)1 2 3 4 5 6 7Food Services; (B) A child shall not be served any food to which the child's record indicates he/she has an allergy. This requirement was not met as evidenced by:1 2 3 4 5 6 7Director stated she shall submit a written statement detailing how she will ensure that no child is given food that records indicate child may be allergic to. This statement shall be submitted to CCL by 11/02/2021. 8 9 10 11 12 13 14Based on interviews and records review, facility staff served food to Child 1 that is indicated in Child 1’s record that Child 1 has a possible allergy to. This poses an immediate risk to the health, safety, or personal rights of children.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Alice Juarez LICENSING EVALUATOR NAME: Luisa Gavoutian LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2021 This is an official report of an unannounced visit/investigation of a complaint received in our office on 08/26/2021 and conducted by Evaluator Luisa Gavoutian PUBLICCOMPLAINT CONTROL NUMBER: 04-CC-20210826164515 FACILITY NAME:CHILDTIME CHILDCARE, INC.FACILITY NUMBER:100406618 ADMINISTRATOR:DIAZ, KRISTINAFACILITY TYPE: 850 ADDRESS:2091 SIERRA AVE.TELEPHONE: (559) 297-5013 CITY:CLOVISSTATE: CAZIP CODE:93611 CAPACITY:75CENSUS: 29DATE: 11/01/2021 UNANNOUNCEDTIME BEGAN: 09:35 AM MET WITH:Director Kristina DiazTIME COMPLETED:11:30 AM ALLEGATION(S): 1 2 3 4 5 6 7 8 9Lack of supervision resulting in an altercation between day care children Child received injuries while in care INVESTIGATION FINDINGS: 1 2 3 4 5 6 7 8 9 10 11 12 13On 11/01/2021, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced complaint inspection to provide findings for the above-mentioned allegations. LPA met with Director Kristina Diaz who accompanied LPA during tour of facility. LPA discussed the allegations and took a census. During the course of the investigation, LPA interviewed staff and witnesses and reviewed facility records. Investigation revealed that on 08/20/2021, Child 1 ingested “play foam” in the classroom, which may have caused Child 1 to have diarrhea. No evidence was available for review to indicate that Child 1 had diarrhea or whether that diarrhea was caused by the “play foam.” On 08/26/2021, Child 2 was observed climbing on Child 1 while Child 1 was face-down on the floor. Staff 1 stated they witnessed the incident but was in the process of changing another child’s diaper and was unable to separate Child 1 and Child 2. Staff 2 was present in the classroom and did not witness the incident. Staff 1 called out to Staff 2 to bring the altercation to Staff 2’s attention. Child 1’s parent entered the classroom as Staff 1 was getting Staff 2’s attention. Investigation revealed that an altercation did occur between Child 1 and Child 2, but it is unclear whether

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 9099-D. "Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months." The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents this date. A completed signed copy of the LIC 9224 will be placed in each child's file. An exit interview conducted with Director Kristina Diaz. A copy of this report and Appeal Rights were provided and discussed with Director. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days, along with a copy of this report. SUPERVISORS NAME: Alice Juarez LICENSING EVALUATOR NAME: Luisa Gavoutian LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2021 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2021 FACILITY NAME: CHILDTIME CHILDCARE, INC.FACILITY NUMBER: 100406618 DEFICIENCY INFORMATION FOR THIS PAGE:VISIT DATE: 11/01/2021 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 11/02/2021 Section Cited CCR 101227(b)(7)(B)1 2 3 4 5 6 7Food Services; (B) A child shall not be served any food to which the child's record indicates he/she has an allergy. This requirement was not met as evidenced by:1 2 3 4 5 6 7Director stated she shall submit a written statement detailing how she will ensure that no child is given food that records indicate child may be allergic to. This statement shall be submitted to CCL by 11/02/2021. 8 9 10 11 12 13 14Based on interviews and records review, facility staff served food to Child 1 that is indicated in Child 1’s record that Child 1 has a possible allergy to. This poses an immediate risk to the health, safety, or personal rights of children.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISORS NAME: Alice Juarez LICENSING EVALUATOR NAME: Luisa Gavoutian LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2021 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2021 This is an official report of an unannounced visit/investigation of a complaint received in our office on 08/26/2021 and conducted by Evaluator Luisa Gavoutian PUBLICCOMPLAINT CONTROL NUMBER: 04-CC-20210826164515 FACILITY NAME:CHILDTIME CHILDCARE, INC.FACILITY NUMBER:100406618 ADMINISTRATOR:DIAZ, KRISTINAFACILITY TYPE: 850 ADDRESS:2091 SIERRA AVE.TELEPHONE: (559) 297-5013 CITY:CLOVISSTATE: CAZIP CODE:93611 CAPACITY:75CENSUS: 29DATE: 11/01/2021 UNANNOUNCEDTIME BEGAN: 09:35 AM MET WITH:Director Kristina DiazTIME COMPLETED:11:30 AM ALLEGATION(S): 1 2 3 4 5 6 7 8 9Lack of supervision resulting in an altercation between day care children Child received injuries while in care INVESTIGATION FINDINGS: 1 2 3 4 5 6 7 8 9 10 11 12 13On 11/01/2021, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced complaint inspection to provide findings for the above-mentioned allegations. LPA met with Director Kristina Diaz who accompanied LPA during tour of facility. LPA discussed the allegations and took a census. During the course of the investigation, LPA interviewed staff and witnesses and reviewed facility records. Investigation revealed that on 08/20/2021, Child 1 ingested “play foam” in the classroom, which may have caused Child 1 to have diarrhea. No evidence was available for review to indicate that Child 1 had diarrhea or whether that diarrhea was caused by the “play foam.” On 08/26/2021, Child 2 was observed climbing on Child 1 while Child 1 was face-down on the floor. Staff 1 stated they witnessed the incident but was in the process of changing another child’s diaper and was unable to separate Child 1 and Child 2. Staff 2 was present in the classroom and did not witness the incident. Staff 1 called out to Staff 2 to bring the altercation to Staff 2’s attention. Child 1’s parent entered the classroom as Staff 1 was getting Staff 2’s attention. Investigation revealed that an altercation did occur between Child 1 and Child 2, but it is unclear whether

Type B citation - potential risk if not corrected