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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419297
Report Date: 02/16/2024
Date Signed: 02/16/2024 04:37:07 PM

Document Has Been Signed on 02/16/2024 04:37 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 CC RO, 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: 46DATE:
02/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Haley Dluzak, Assistant DirectorTIME COMPLETED:
04:45 PM
NARRATIVE
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On Friday, February 16, 2024, Licensing Program Analyst (LPA) Mayra Rivera conducted a case management-incident inspection in regards self-reporting incident. LPA met with assistant director Haley Dluzak. LPA stated the purpose of the inspection was to follow-up on a self-reported Unusual Incident Report (UIR) that occurred on Friday, February 9, 2024, at the center where a child remained inside the classroom with no active supervision during an outdoor transition time. During this investigation LPA Rivera conducted an inspection of the facility where the incident occurred, reviewed facility records, and conducted confidential interviews with staff members.

LPA observed 46 preschool children napping and 5 staff members providing care and supervision. Teacher to child ratio was met, and present staff are fingerprinted cleared.

The interview conducted with staff revealed that the child remained in the classroom alone for about 4 minutes and reunited the child with the class at that time.

LPA informed assistant director due to the child remaining in the class with no active supervision, it is a violation of California Code of Regulation, Title 22 101229 (a)(1) Responsibility for Providing Care and Supervision.

Based on the evidence gathered, the facility has been cited with a Type B violation. Please see attached LIC 809-D for citation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, and report was reviewed with assistant director Haley Dluzak.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2024
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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Document Has Been Signed on 02/16/2024 04:37 PM - It Cannot Be Edited


Created By: Mayra Rivera On 02/16/2024 at 03:55 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: 02/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/18/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision - (a). The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time...
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Assistant director stated additional training face to name will be provided to staff. Performance and improvement plan has been placed in stafff files.
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Based on interview by staff the licensee did not comply with the section cited above due to child remaining in the class with no active supervision which poses a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME:Lady King
LICENSING EVALUATOR NAME:Mayra Rivera
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2024


LIC809 (FAS) - (06/04)
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