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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419298
Report Date: 12/12/2023
Date Signed: 12/12/2023 02:52:17 PM


Document Has Been Signed on 12/12/2023 02:52 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:
197419298
ADMINISTRATOR:BUSTAMANTE, ANGIEFACILITY TYPE:
830
ADDRESS:17150 SOLEDAD CANYON ROADTELEPHONE:
(661) 252-3144
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91387
CAPACITY:28CENSUS: 18DATE:
12/12/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Angie Bustamante, DirectorTIME COMPLETED:
03:10 PM
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On Tuesday, December 12, 2023, at 1:45 pm., Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management -Deficiencies inspection to follow up citation 101174(d)-(d) Disaster drills shall be conducted at least every six months given on 11/28/2023. During this visit 18 infants present and 5 infant staff members present.

LPA observed proof of emergency drill being done one 11/29/23. LPA cleared the Type B deficiency.

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 was reviewed with director Angie Bustamante.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (661) 603-1090
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2023
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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