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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419298
Report Date: 10/19/2022
Date Signed: 10/19/2022 04:25:30 PM


Document Has Been Signed on 10/19/2022 04:25 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 CHILD CARE, 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: 20DATE:
10/19/2022
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Angie BustamanteTIME COMPLETED:
04:30 PM
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On October 19, 2022, Licensing Program Analyst (LPA) Isabel Ortega, conducted a Case Management inspection in response to information received from the State Water Resources Control Board (SWRCB), Division of Drinking Water (DDW). LPA Ortega met with the Director Angie Bustamante, the purpose of the inspection was disclosed and entry was granted. Upon arrival 20 children were present and five staff.

During the inspection, LPA Ortega informed Director, the results provided from SWRCB, indicated the facility had elevated levels of lead in the water faucet K and L Classroom the Department was notified of the Action Level Exceedance (ALE), levels are at (K) 5.55 and (L) 5.75. The SWRCB inspected and collected sample on 9/19/2022 testing number 221277. According to Director the sinks identified as having high levels of lead are in the same classroom under facility number 197419297.

LPA advised Director, all water outlets tested with an ALE at the facility shall be placed as out of service. On 9/29/2022 parents notified via-email. According to Director both sinks are utilized for hand washing only. LPA observed a changing table by the water faucet L in the classrrom referred to as the "Two's".
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/19/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: TUTOR TIME CHILD CARE LEARNING CENTERS
FACILITY NUMBER: 197419298
VISIT DATE: 10/19/2022
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Director advised LPA Ortega per the sample results, the sink faucets K and L have been identified in the "two's" classroom with license number 197419297. According to facility the water in area K and L were replaced and scheduled to be retested on 10/26/2022.

Facility has followed regulations in place and a Case Management was also conducted at the correct facility number 197419297. Facility has taken action to correct the lead level exceedance. Therefore, no citations will be issued today.

An exit interview was conducted, a copy of this report, appeal rights and a Notice of Site Visit was provided to Director on this day.

This report shall be public record for three years and notice of site visit shall be posted for 30 days.

812 for the case management
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC809 (FAS) - (06/04)
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