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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419298
Report Date: 03/29/2023
Date Signed: 03/29/2023 12:37:42 PM


Document Has Been Signed on 03/29/2023 12:37 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:
03/29/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Haley DluzakTIME COMPLETED:
10:30 AM
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On March 29, 2023 Licensing Program Analyst (LPA) Isabel Ortega met with facility Assistant Director Haley Dluzak to conduct an unannounced case management inspection. The purpose of the case management was to follow up on a self reported unusual incident report (UIR) submitted to the Department on March 28, 2023. Upon arrival, there were 20 children observed in care and 5 staff proving care and supervision.

The unusual incident report was regarding Child #1 having a febrile seizure due to a sudden fever during care and transported to the hospital.

During this inspection LPA conducted interviews and completed file reviews. In addition, LPA completed a safety inspection of the facility. LPA obtained copies of the facility roster and toured a total of two classrooms.

According to Title 22 no deficiencies will be cited today. During the incident facility was providing care and supervision, a total of three staff were present in the classroom and in close proximity with 12 children. Facility attended to child#1 immediately and was assessed. Emergency Medical Service (EMS) was contacted and Family was notified in a timely matter. According to facility, child is doing better and is recovering.

An exit interview was conducted, a copy of this report, notice of site visit and appeal rights were provided to facility. A notice of site visit was provided and requested to be posted for 30 days.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2023
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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