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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419297
Report Date: 03/09/2023
Date Signed: 03/09/2023 05:20:59 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/13/2022 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20221213140724
FACILITY NAME:TUTOR TIME CHILD CARE LEARNING CENTERSFACILITY NUMBER:
197419297
ADMINISTRATOR:BUSTAMANTE, ANGIEFACILITY TYPE:
850
ADDRESS:17150 SOLEDAD CANYON ROADTELEPHONE:
(661) 252-3144
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91387
CAPACITY:156CENSUS: 41DATE:
03/09/2023
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Angie BustamanteTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Allegation: Neglect/Lack of Supervision
INVESTIGATION FINDINGS:
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On 3/9/2023, Licensing Program Analyst (LPA) Isabel Ortega conducted an unannounced complaint inspection to deliver findings on the above allegation. LPA met with Director Angie Bustamante, Palmdale Regional Office received this complaint on 12/13/2022 based on an incident that occurred on 12/1/2022.
During the course of the investigation, Investigation Branch (IB) Investigator Christine Ferris conducted interviews and gathered documents relevant to the complaint. A review of facility’s video dated 12/01/2022 demonstrated staff #1 was in the kitchen area with her back to the children when child #1 fell and sustained an injury. This poses an immediate risk to the health and safety of children enrolled. Based on evidence obtained and interviews conducted, the allegation is deemed Substantiated.

Facility shall post the Notice of site visit for 30 consecutive days as there is immediate risk to the health and safety of personal rights of children in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 12-CC-20221213140724
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTERS
FACILITY NUMBER: 197419297
VISIT DATE: 03/09/2023
NARRATIVE
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Also, facility was informed to provide a copy of this licensing report dated 3/9/2023 documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. A finding of substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted, a copy of this report, appeal rights and a notice of site visit were provided to facility.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20221213140724
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTERS
FACILITY NUMBER: 197419297
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/24/2023
Section Cited
CCR
101229(a)
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Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. This requirement was not met as evidenced by:
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Facility will enroll staff in training regarding supervising children in the classroom. Facility will submit certificate/registration proof and a witten summary of understanding of the training to the Palmdale RO by due date by email.
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Based on the investigator’s investigation child#1 was injured due to not being properly supervised at the time of the incident staff #1 had her back to the children for an extended period of time.
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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: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3