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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413769
Report Date: 11/03/2021
Date Signed: 11/03/2021 03:00:21 PM

Document Has Been Signed on 11/03/2021 03:00 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
197413769
ADMINISTRATOR:CELINA DIAZFACILITY TYPE:
850
ADDRESS:25804 HEMINGWAY AVENUETELEPHONE:
(661) 799-1990
CITY:STEVENSONS RANCHSTATE: CAZIP CODE:
91381
CAPACITY: 111TOTAL ENROLLED CHILDREN: 111CENSUS: 70DATE:
11/03/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Celina DiazTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Thompson-Miller met with Director, Celina Diaz for a Case Management - Incident inspection involving an Incident Report dated September 22, 2021. The incident occurred on September 17, 2021. Present are 70 children and 10 Teachers.

Description of the incident: At approximately 4:42pm Staff #2 was preparing children to go outside, children lined up then went outside, door closed by Staff #2 and began to take a head count by calling each name. Staff #2 then realized Child #1 was not with her, immediately opened the door and Child #1 was approximately 3 feet from the door, starring at Staff #2 when door opened, she was not crying. Child #1 was fine while outside playing and the remainder of the day.
Interviews were conducted with parents and staff.

Based on information provided and interviews conducted the incident does not appear to have been the result of any violation of the Title 22 regulation, therefore, no deficiencies were cited.
Notice of Site Visit was provided.

An exit interview was conducted, a copy of this report was read and provided to the Director, Celina Diaz on this date.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Linda Thompson-Miller
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2021
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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