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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012767
Report Date: 03/14/2024
Date Signed: 03/14/2024 01:09:35 PM

Document Has Been Signed on 03/14/2024 01:09 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:
198012767
ADMINISTRATOR:ANA GRANADOSFACILITY TYPE:
830
ADDRESS:21639 VALLEY BOULEVARDTELEPHONE:
(909) 468-5979
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: DATE:
03/14/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Mayra MondragonTIME COMPLETED:
01:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jennifer Hua conducted an unannounced case management inspection. LPA met with assistant director Mayra Mondragon. The purpose of the visit was announced.

The purpose of today's inspection is to go over the water lead test results received on 8/30/2022. Results indicate that the faucet had action level exceedance of lead. The faucet located in the infant bathroom sink had a lead result of 7.36 ppb. LPA observed the faucet located in the infant bathroom sink has been replaced. It was observed the bathroom is located next to the napping room and is currently use as storage. Per director on 9/22/22, the faucet in the infant bathroom sink has never been used for water consumption or food preparation source. The director stated that the bathroom in the infant room has not been used at all and is currently used as storage. Copy of LIC 9275, the facility sketch, photo to show that faucet has been replaced have been received.

Based on above, deficiency cited attached 809D.

An exit interview conducted, an exit interview conducted with Assistant Director. Notice of Site Visit form provided and shall be posted for 30 days in a prominent area.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
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 03/14/2024 01:09 PM - It Cannot Be Edited


Created By: Jennifer Hua On 03/14/2024 at 12:48 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: 198012767

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/14/2024
Section Cited
CCR
101700.3(c)

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California Lead Action Level at Child Care Centers. Licensee failed to maintain a lead value at or below the Action Level for water lead testing of 5.5 ppb or greater for outlet H Result with values of 5.5 ppb or greater shall be deemed an Action Level
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Per licensee, faucet has been replaced, but was never used for drinking or food preperation. Will send copy of lab result to LPA 3/22/24.

Deficiency has been corrected.
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This requirement is not met as evidenced by: Water testing results identified with Action Level Exceedance as defined in WD section 101700.3 are not deemed safe to drink. This
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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: 03/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024


LIC809 (FAS) - (06/04)
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