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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364817884
Report Date: 02/08/2022
Date Signed: 02/08/2022 09:44:43 AM

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
10/29/2021 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211029171928
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
364817884
ADMINISTRATOR:MYRNA ARELLANOFACILITY TYPE:
830
ADDRESS:7390 ELLENA WESTTELEPHONE:
(909) 948-8311
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:24CENSUS: 44DATE:
02/08/2022
UNANNOUNCEDTIME BEGAN:
09:11 AM
MET WITH:Myrna Arellano/DirectorTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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9
Infant sustained unexplained head injury while in care.
INVESTIGATION FINDINGS:
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On 2/8/2022, at 9:30 am, Licensing Program Analyst Patricia Berry conducted a subsequent complaint investigation to deliver final findings. LPA was granted access into the facility. LPA met with Myrna Allerano, toured facility, and took a census.

On 11/04/21, it was alleged an infant sustained an unexplained head injury while in care. Investigator Georgina Tallagua, from the Department’s Investigation Branch (IB), conducted the investigation. During the investigation, all pertinent parties were interviewed, and documentation was obtained.

Based on information obtained and documentation reviewed during the investigation, the allegation is deemed UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

(Cont on 9099C)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2022
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 2
Control Number 09-CC-20211029171928
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: 364817884
VISIT DATE: 02/08/2022
NARRATIVE
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An exit interview was conducted, and a copy of this report was provided to Myrna Arellano on this date. LPA provided a copy of the appeal rights and the Notice of Site (LIC 9213) form to Myrna Arellano. LPA verified the LIC 9213 form was posted prior to concluding the inspection.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2