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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419296
Report Date: 08/09/2019
Date Signed: 08/09/2019 01:15:04 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/29/2019 and conducted by Evaluator Brianna Reynoso
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20190729120843
FACILITY NAME:TUTOR TIME CHILD CARE LEARNING CENTERSFACILITY NUMBER:
197419296
ADMINISTRATOR:SERRANO, ANGIEFACILITY TYPE:
830
ADDRESS:23041 NEWHALL RANCH ROADTELEPHONE:
(661) 263-2655
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY:30CENSUS: 8DATE:
08/09/2019
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Angie SerranoTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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- Personal Rights: Child received unexplained injuries while in care
- Reporting Requirements: Facility failed to report an incident involving a child sustaining unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On 8/9/2019 Licensing Program Analyst (LPA), Brianna Reynoso arrived at the above facility for the purpose of conducting a complaint investigation, and to deliver the findings related to the above allegations. LPA was granted entry into the facility, and informed the Director, Angie Serrano would arrive shortly.

Upon arrival, LPA verified a census of 8 infants in care.

At 9:45 a.m., LPA met with the Director.

Throughout the course of this investigation, LPA reviewed files, obtained photographs, and conducted interviews with staff members and all other pertinent complaint parties.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna ReynosoTELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
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 4
Control Number 12-CC-20190729120843
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTERS
FACILITY NUMBER: 197419296
VISIT DATE: 08/09/2019
NARRATIVE
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During interviews conducted, it was disclosed that it was brought to the facility's attention that staff members were not following diaper changing policies. A staff member had been observed changing infant diapers with no gloves on, and another staff member was seen changing diapers while wearing jewelry.

Due to staff members not following diaper changing polices, a child sustained scratches on their upper thigh area.

The facility also failed to report the incident involving a child sustaining unexplained injuries while in care. LPA reminded the facility that they must report any unusual incident via telephone within 24 hours from the day the incident occurred, and via mail and/or fax within seven days from the day the incident occurred.

Based on LPA's observations and interviews which were conducted, the preponderance of evidence standard had been met, therefore the above allegations were found to be substantiated.

The facility was not found to be in substantial compliance per Title 22 regulations, and deficiencies have been cited on the attached LIC 9099D.

An exit interview was conducted, a copy of this report, notice of site visit, and appeal rights were provided to Director, Angie Serrano.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna ReynosoTELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20190729120843
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTERS
FACILITY NUMBER: 197419296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/10/2019
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations...This requirement was not met as evidenced by: Based on LPA observations and interviews. LPA was informed staff members
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On 7/26/2019, the Director held a mandatory staff meeting. In this meeting, the Director reviewed and updated the facility's diaper changing policies. A copy of each staff members signed policy was provided during today's investigation.
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were not following the facility's diaper changing policies, as a staff member was seen changing diapers without wearing any gloves. The facility was also made aware there was a staff member changing diapers while wearing jewelry. Due to staff members not following polices, a child sustained scratches on their upper thigh area. This poses an immediate risk to the health and safety of children in care.
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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: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna ReynosoTELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20190729120843
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTERS
FACILITY NUMBER: 197419296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/19/2019
Section Cited
CCR
101212(d)(1)(C)
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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department...(1) Events reported shall include the following: (C) Any unusual incident...that threatens the physical or emotional health or safety of any child.
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Director has stated she will complete an Unusual Incident Report (LIC624) outlining the details of the incident. Once complete, Director will submit the LIC624 to LPA via email, no later than the plan of correction due date.
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This requirement was not met as evidenced by: Based on LPA observations and interviews. LPA conducted a file review and found that the facility failed to report the incident involving a child sustaining unexplained injuries while in care. It was also disclosed to LPA that the facility was unsure as to whether or not this had to be reported to the department. This poses a potential risk to the health and safety of children in care.
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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: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna ReynosoTELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 4