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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419297
Report Date: 01/28/2025
Date Signed: 01/28/2025 01:19:36 PM

Document Has Been Signed on 01/28/2025 01:19 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/
DIRECTOR:
BUSTAMANTE, ANGIEFACILITY TYPE:
850
ADDRESS:17150 SOLEDAD CANYON ROADTELEPHONE:
(661) 252-3144
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91387
CAPACITY: 156TOTAL ENROLLED CHILDREN: 156CENSUS: 62DATE:
01/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:Angie Bustamante, DirectorTIME VISIT/
INSPECTION COMPLETED:
01:17 PM
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On Tuesday, January 28, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management inspection to follow up in regards self-reporting incident that occurred on Monday, December 2, 2024.

Description of the incident: On Monday, December 2, 2024, a child sustained a finger injury.

Upon LPA Rivera arrival, LPA observed 62 children napping with staff #1, staff #2, staff #3, and staff #4 present providing care and supervision. During this visit, LPA conducted interview with assistant director and obtained documentation. Based on the information provided, the incident was an accident and no evidence of the injury occurred due to no supervision.

No deficiencies given during this visit. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report and appeal rights were reviewed with director Angie Bustamante.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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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