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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370256
Report Date: 08/14/2025
Date Signed: 08/14/2025 03:40:57 PM

Document Has Been Signed on 08/14/2025 03:40 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
304370256
ADMINISTRATOR/
DIRECTOR:		MARY JOY HILSABECKFACILITY TYPE:
850
ADDRESS:24291 AVILA ROADTELEPHONE:
(949) 831-8887
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY: 170TOTAL ENROLLED CHILDREN: 170CENSUS: 65DATE:
08/14/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Director, Maryjoy HilsabeckTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA), Mahnaz (Nancy) Malek conducted an onsite case management inspection for the purpose of following up investigating for an incident that the facility self reported to our office on 7/7/2025.

LPA met with director, Mary Joy Hilsabeck. Census was taken. There was a total of 65 napping preschool children with 7 staff observed. Teacher child ratio was; 2:15 napping children in Early Preschool Room, 1:14 napping children in Pre-K Room, 1:14 napping children in 2 year old Room, 2:12 napping children in TK Room. The Village Room and Multi-Purpose Room were not in use.



According to the self-incident report, on 7/7/2025, the facility representative was notified that 4 year old child (C1) disclosed that Staff # 1 (S1) had taken a picture of C1 using the toilet, and also snap chatting poop character (emoji) for the child's head using their cell phone.

A review of the Facility Personnel Report Summary on this date indicates all facility who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA interviewed 9 staff, and 8 older preschool children regarding the incident. LPA also reviewed school policy regarding cell policy in employees' handbook. LPA also obtained investigation report from other enforcement agency (Police Department) since that agency was involved.

LPA interviewed S1 who stated the following:

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NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Mahnaz Malek
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370256
VISIT DATE: 08/14/2025
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S1 stated that they have a cell phone. They used it on the playground one time in April. Corrective action was taken against them. They stopped using their cell phone while working with children after the correction plan. S1 stated S1 never took any pictures of any children in the restroom using their cell phone or company ipad. S1 added that they never showed any snapchat characters to children on their phone. S1 stated they take pictures of children during their activity times and send them to their parents using the company ipad (Sprout About Application).

During the course of interview with staff who work in the preschool program and infant/toddler program, LPA was told they don’t use their cell phones while working with children. One staff member stated they have seen S1 looking at their cell phone or texting or leaving a voice message on occasions, but they have not seen S1 taking pictures of children using their own cell phone. They reminded S1 to put it away when they saw it. They stated they take individual or group pictures of children while doing activities sending or texting the parents using the school ipad. The staff showed LPA the pictures they have taken of children using school ipad while engaging in activities. Staff stated they have not seen S1 taking any pictures of children with their own cell phone. They stated they can be on their phone during their break time but not when they are with children. The staff reviews the video training at the time of hiring and sign the school policy prohibiting them from using their cell phone while working with children. According to the management, S1 was observed using their cell phone during work hours, and a corrected action was done for this purpose. The management stated violation of using the private cell policy while working with children is two times warning and then leading to staff termination.

Staff stated they use the company ipad, Spout About Application for attendance, taking pictures of children's activities, playing projects or playing music during nap time. They stated they don't take pictures of children in the bathroom. They have not seen any staff member taking any children's photo in the restroom or showing any emoji on their phone or ipad to children. However, one staff stated they have seen S1 on the their cell phone during work time. They were not sure what they were doing. S1 was not observed to take pictures of children in the bathroom.

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NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Mahnaz Malek
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370256
VISIT DATE: 08/14/2025
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During the interviews with 8 qualified preschool children, LPA was told that they have seen staff take pictures of them during play time or activity time. However, children could not distinguish between the staff phone or company ipad. Children stated staff had not taken any pictures of them in the restroom and no emoji has been shown to children by any staff.

Based on the interviews with (nine) 9 staff, (eight) 8 children, reviewing relevant documents, and police report, there is not a preponderance of evidence to prove, the violation did or did not occur. No deficiency was cited on today's visit.

The director, Mary Joy Maryjoy Hilsabeck was provided with a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. The exit interview was conducted with the director, Maryjoy Hilsabeck.

Notice of Site Visit was posted. The notice of the site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The exit interview was conducted with the director, Maryjoy Hilsabeck.



End of report.

NAME OF LICENSING PROGRAM MANAGER: Thuy Ho
NAME OF LICENSING PROGRAM ANALYST: Mahnaz Malek
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
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