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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817884
Report Date: 09/27/2022
Date Signed: 09/27/2022 09:48:55 AM

Document Has Been Signed on 09/27/2022 09:48 AM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
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: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 14DATE:
09/27/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Myrna Arellano/DirectorTIME COMPLETED:
10:10 AM
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On 9/27/2022 at 8:30 am, Licensing Program Analyst (LPA) Patricia Berry conducted a case management inspection regarding elevated level of lead in a bathroom sink. Director stated the elevated level of lead was from a sink in a bathroom that has not been in use. Director stated that bathroom has been used for storage. Director stated a maintenance company repaired the piping under the sink and also replaced the faucet. This sink is not used for drinking or for food handling. A resampling report will be completed the week of 10/10.



Exit interview conducted with director, appeal rights and Notice of Site Visit issued.


Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022
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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