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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012765
Report Date: 03/07/2023
Date Signed: 03/07/2023 01:27:29 PM

Document Has Been Signed on 03/07/2023 01:27 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
198012765
ADMINISTRATOR:ANA GRANADOSFACILITY TYPE:
850
ADDRESS:21639 VALLEY BOULEVARDTELEPHONE:
(909) 468-5979
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY: 132TOTAL ENROLLED CHILDREN: 56CENSUS: 40DATE:
03/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:37 PM
MET WITH:Ana GranadosTIME COMPLETED:
01:30 PM
NARRATIVE
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Case management inspection conducted by Licensing Program Analyst (LPA) Jennifer Hua. LPA met with director Ana Granados. COVID-19 risk assessment was conducted. Purpose of the visit was announced. The purpose of this visit is to follow up on the incident that was reported on 2/22/2023. It was reported that on 2/21/23, a child injured her finger while closing the door of the restroom. Child sustained a cut in one of her fingers. A child pulled on the bathroom door and closed the door on her finger. Director said there is a latch on top of the door, but when checked on the door, the latch was loose and when child pulled on the door, the door got loose from the latch and the child closed the door on her finger.

Based on information received, deficiency is cited on attached 809D.

An exit interview conducted with director. Notice of Site visit form was provided and shall be posted for 30 in an area accessible for review.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2023
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 03/07/2023 01:27 PM - It Cannot Be Edited


Created By: Jennifer Hua On 03/07/2023 at 12:55 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 198012765

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/07/2023
Section Cited
CCR
101238(a)

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Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The requirement was not met as evidenced by: A child sustained a cut on finger. A latch on top of the door was loose and when child pulled on the door, child closed the door on their finger.
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Per director, the latch was replaced immediately. LPA checked the latches on the doors and observed the latches are in place and the doors are secured.

Deficiency corrected.
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This poses a potential risk and safety of children 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:Ana Chico
LICENSING EVALUATOR NAME:Jennifer Hua
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2023


LIC809 (FAS) - (06/04)
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