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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419296
Report Date: 02/05/2025
Date Signed: 02/05/2025 04:30:07 PM

Document Has Been Signed on 02/05/2025 04:30 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:TUTOR TIME CHILD CARE LEARNING CENTERSFACILITY NUMBER:
197419296
ADMINISTRATOR/
DIRECTOR:
SERRANO, ANGIEFACILITY TYPE:
830
ADDRESS:23041 NEWHALL RANCH ROADTELEPHONE:
(661) 263-2655
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 4DATE:
02/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:10 PM
MET WITH:Angie Serrano, DirectorTIME VISIT/
INSPECTION COMPLETED:
04:37 PM
NARRATIVE
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On Wednesday, February 5, 2025, Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management inspection to follow up in regards self-reporting incident that occurred on Wednesday, January 15, 2025.

Description of the incident: On Wednesday, January 15, 2025, a child sustained an and injury near check bone which later developed into a black eye.

Upon LPA Rivera arrival, LPA observed 3 infants awake and 1 napping with staff #1 present providing care and supervision. During this visit, LPA conducted interviews with staff and obtained documentation. Based on the information provided, the incident was an accident and no evidence of the injury occurred due to no supervision.

No deficiencies given during this visit. A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report and appeal rights were reviewed with director Angie Serrano.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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