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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364813346
Report Date: 05/14/2021
Date Signed: 05/14/2021 01:24:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/30/2021 and conducted by Evaluator Justin Giese
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20210430083717
FACILITY NAME:TUTOR TIME CHILD CARE LEARNING CENTERFACILITY NUMBER:
364813346
ADMINISTRATOR:JESSICA BAYERFACILITY TYPE:
830
ADDRESS:7191 BOULDER AVENUETELEPHONE:
(909) 864-0829
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY:28CENSUS: 7DATE:
05/14/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Jessica Bayer/Heather UribeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Child sustained unexplained injury while in care
INVESTIGATION FINDINGS:
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On 5/14/2021 at 01:15pm Licensing Program Analyst (LPA) Justin Giese conducted a Tele-inspection to conclude a complaint investigation that was initiated on 04/30/2021. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this investigation was conducted via Tele-inspection. LPA met with Facility Director Jessica Bayer and School Education Manager Heather Uribe to deliver findings.

The following was alleged: Child sustained unexplained injury while in care. LPA investigated the above allegation and gathered the following information:

On April 29, 2021 Facility Director sent the Regional Office an Unusual Incident Report (UIR) documenting a discussion with the Child #1’s Parent/Guardian that occurred on April 29, 2021. Child #1’s Parent/Guardian was given an incident report documenting staff’s observation of a bruise/red mark located on the top of the Childs’s right ear. Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 09-CC-20210430083717
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTER
FACILITY NUMBER: 364813346
VISIT DATE: 05/14/2021
NARRATIVE
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LPA conducted interviews with pertinent individuals related to this complaint. When interviewed, Child #1’s Parent/Guardian affirmed the facility documents all incidents and observations that occur in the facility and communicate them on written incident logs requiring a signature to acknowledge.

Interviews conducted with Facility Director and Day Care staff did not indicate any isolated incidents resulting in the Child sustaining injury while in care pertaining to this complaint investigation. Staff #1 stated they observed the bruising/red mark on Child #1’s ear while they sat in Staff #1's lap during circle time. Staff #1 was able to observe the top of Child #1’s ear from her vantage above the Child. Staff #3 was working alongside Staff #1 and notified them of the observed bruising/red mark on the top of Child #1’s ear. Staff #3 then alerted the Director. Observation were made by all staff involved and date and time of observation were documented on an incident report.



Director and Staff interviews corroborate the facility is responsible to report injuries and incidents to authorized representatives of children. During the investigation Director provided LPA with Incident Reports detailing accidents/injured and observations made by staff. Incident reports are discussed with parents/guardians and signatures are gathered to acknowledge receipt of Incident Reports. LPA observed the incident report pertaining to this complaint investigation signed by Parent/guardian of Child #1 acknowledging staff observations of injury. LPA reviewed the history of the Facility’s past Incident Reports, providing proof of the documentation of children accident/injuries or staff observations that occur in the facility are adequately documented, discussed and reported when they occur.

Although facility staff took appropriate action by documenting their observations on an incident report and notifying the Parent/Guarding of Child #1, LPA’s observations and interviews throughout the investigation could not determine if the injury occurred at the facility and if it was a result of lack of supervision or other means.

This agency has investigated the complaint alleging Child sustained unexplained injury while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Continued on LIC9099-C
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20210430083717
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTER
FACILITY NUMBER: 364813346
VISIT DATE: 05/14/2021
NARRATIVE
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An exit interview was conducted, LPA provided Facility Director with a copy of this report via email, along with an electronic “read/reply receipt”. The electronic read receipt or reply to the email acknowledges receipt of this report.

AT THE TIME OF VISIT NO DEFICIENCIES WERE CITED

A NOTICE OF SITE VISIT WAS EMAILED. DIRECTOR WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

A copy of this report and appeal rights were emailed to the Director during this Tele-inspection on 05/14/2021.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3