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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413766
Report Date: 04/07/2022
Date Signed: 04/07/2022 10:20:11 AM

Document Has Been Signed on 04/07/2022 10:20 AM - 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
197413766
ADMINISTRATOR:WENDY POWELLFACILITY TYPE:
850
ADDRESS:29421 THE OLD ROADTELEPHONE:
(661) 295-1234
CITY:CASTAICSTATE: CAZIP CODE:
91384
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 44DATE:
04/07/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Wendy PowllTIME COMPLETED:
10:40 AM
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On April 7, 2022, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Case Management inspection for the purpose of following up on an incident that occurred on 02/10/2022. Upon arrival LPA were greeted by the director who guided LPA on a tour of the facility. LPA observed 44 children with 6 staff; all staff are fingerprint cleared and fully qualified.

Description of incident: On 02/10/2022, Staff 1 (S1) handled child 1 (C1) in an aggressive manner. C1 disclosed on the day of the incident S1 pushed C1 on the cot. There was 1 teacher that observed the incident.

Staff 2 corroborated that S1 handled C1 in a rough manner. The incident report follow up revealed that C1 did not sustain any injuries as a result of the incident. S2 disclosed witnessing S1 handling C1 in a rough manner during nap time.

The facility did the appropriate action and placed the S1 on administrative leave and later terminated S1.

The facility was encouraged to continue to report unusual incident reports to the department.

An exit interview was conducted and copy of this report was provided to the director.

SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2022
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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