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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419657
Report Date: 08/25/2021
Date Signed: 08/25/2021 03:31:39 PM

Document Has Been Signed on 08/25/2021 03:31 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:TUTOR TIME LEARNING CENTERFACILITY NUMBER:
197419657
ADMINISTRATOR:KHANSARI, DRUCILLAFACILITY TYPE:
830
ADDRESS:5108 CLARETONTELEPHONE:
(818) 865-0049
CITY:AGOURA HILLSSTATE: CAZIP CODE:
91301
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 10DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Drucilla KhansariTIME COMPLETED:
01:20 PM
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On August 25, 2021 at 12:17 pm, Licensing Program Analyst (LPA) Francisco Pedroza conducted an unannounced Annual/Random inspection. LPA contacted facility and conducted Covid screening questions prior to entering the facility. LPA met with facility Director Drucilla Khansari and advised her the purpose of the inspection. There was 10 children in care at the time of the inspection. The facility operates 6:30 am to 6:30 pm Monday thru Friday. This is a combined center with school-age and preschool programs.

Licensing required notices were posted prominently on the wall in the lobby. The facility uses two classrooms for children. There was one staff supervising three (3) infants in one classroom and two (2) staff supervising seven (7) children in the other classroom. LPA observed both classrooms had age appropriate toys and furnishings. The classrooms had a changing table with sink readily accessible. LPA observed enough cribs for the infants in care. Facility had the required current sleep logs on clip boards mounted on the wall. Food and milk is stored within two refrigerators located in the classroom. LPA reviewed a sampling of Individual needs & services plans and feeding plans. Children bottles and food were properly labeled with child's name and date. Facility identifies bottles with a green label that have breast milk. LPA did not observe any toxins/hazardous items accessible to children. The outdoor playground has an ample amount of space for children to play. LPA observed the playground has age appropriate toys and structures available for children to use. The playground has ample amount of shade available. The facility has water available for children inside and out. The facility has a clean water container filled with water. Children are provided small paper cups for water.

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SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: TUTOR TIME LEARNING CENTER
FACILITY NUMBER: 197419657
VISIT DATE: 08/25/2021
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Center uses the electronic application Brightwheel. A sampling of children and staff records were reviewed. Teachers have required qualifications. Teachers present have current Pediatric First Aid/CPR certificates that expire on 2/22/2022. Teachers present have current AB 1207 Mandated Reporter Training certificates that expire on 4/11/2022. LPA verified SB 792 Child Care Adult Immunization and Tuberculosis Requirements. Facility is following current Covid-19 and Safe Sleep guidelines.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies were cited during today's visit.



THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Francisco Pedroza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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