<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419297
Report Date: 03/09/2023
Date Signed: 03/09/2023 05:51:13 PM

Document Has Been Signed on 03/09/2023 05:51 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
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: 156TOTAL ENROLLED CHILDREN: 156CENSUS: 37DATE:
03/09/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
05:16 PM
MET WITH:Angie BustamanteTIME COMPLETED:
05:56 PM
NARRATIVE
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
On 3/9/2023 Licensing Program Analyst (LPA) Isabel Ortega conducted a case management inspection investigation. LPA toured the facility and observed 37 children in care and 6 staff providing care and supervision.

The investigator Christine Ferris from Investigations Branch (IB) investigated personal rights of child #1. The Investigator obtained statements, reviewed center video and other relevant documentation were received during the investigation.

Based on the information obtained staff #1 violated child#1’s personal Rights when she inappropriately lifted child #1 from a seated position to his feet (see 809D for cited deficiency).

An exit interview was conducted, appeal rights notice of site visit, and a copy of this report was provided to facility on this date.

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.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 03/09/2023 05:51 PM - It Cannot Be Edited


Created By: Isabel Ortega On 03/09/2023 at 05:25 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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 B
03/24/2023
Section Cited
CCR
101223(a)(1)

1
2
3
4
5
6
7
Personal Rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Facility will enroll staff in training related to how to properly handle children while in care. Facility will submit certificate and a written statement of what was learned to the Palmdale RO by email by due date.
8
9
10
11
12
13
14
Based on the (IB) Investigator’s investigation child#1 was inappropriately handled by Staff#1.
Video showed Staff#1 not properly lifting child#1 and placing child #1 his/her feet.

8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
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.
SUPERVISOR'S 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


LIC809 (FAS) - (06/04)
Page: 2 of 2