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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370971
Report Date: 08/25/2022
Date Signed: 08/25/2022 05:33:22 PM


Document Has Been Signed on 08/25/2022 05:33 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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
304370971
ADMINISTRATOR:KASPARIAN, DANAFACILITY TYPE:
840
ADDRESS:12860 CENTRAL PARK AVENUETELEPHONE:
(714) 389-9999
CITY:IRVINESTATE: CAZIP CODE:
92602
CAPACITY:28CENSUS: 16DATE:
08/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Dana Kasparian, Director TIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analysts, Dianna Valdez-Santana and Patricia Rivas conducted an unannounced Case Management visit for the purpose to discuss the Lead Sampling Testing conducted on 08/10/2022. A COVID-19 prequestionnaire was conducted prior to entry. LPAs met with Director, Dana Kasparian, who was explained the reason for today’s visit. LPAs observed 16 school-age children in care.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires all licensed Child Care Centers (CCC’s) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every five years after the date of the first test.

Community Care Licensing was notified that lead water testing conducted at the facility on 08/04/2022 failed allowable limit for lead. The Purpose of today’s visit is to follow up lead testing results of Action Level Exceedances (ALE).

Instructions for required lead testing are outlined in PIN 21-21-CCP. This PIN which contains Written Directives, have the same force and effects as the regulations contained in Title 22 of the California Code of Regulations.

Care Child Centers are expected to use an Environmental Laboratory Accreditation Program (ELAP), for lead testing. Accreditation from the California Environmental Laboratory Accreditation Program, known as an ELAP laboratory, is equipped to measure the amount of lead in parts per billion (ppb) unit of measurement.


Facility staff was advised on 08/23/2022 that the Lead Sample Report was to be posted. LPAs observed the facility had posted the Lead Sample Report.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2022
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
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370971
VISIT DATE: 08/25/2022
NARRATIVE
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On 08/25/22 LPA spoke with Director, Ms. Kasparian who stated that two outlets had ALE over 5.0 had been made inaccessible to children via, signs posted stating DO NOT USE. Three Outlets A, B, C, were located inside the classroom and one outlet D was located outside in the school-age playground. The outlet in the playground is an outside drinking fountain and it had a sign stating, “DO NOT USE”. LPAs nor the Director were able to find D30, that was listed in the “Water Sample Results Report”, no other physical outlets were viewed. Director will obtain information on where Outlet D30 is located from the water testing company and provide information to LPAs via email. Director reports that faucets that tested with high levels of lead will be replaced after flushing. The drinking fountain outside will be permanently closed off and eventually removed. Director stated they use the sink in their classrooms as alternate water sources, which both passed with no high levels of lead. Children are also provided water bottles by facility.


Based on LPAs Director interview, review of facility sketch and walkthrough reviews, the following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached LIC 809D.


Exit interview conducted with Dana Kasparian. The report was reviewed and discussed. Appeal Rights were discussed. Facility staff was provided copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the Regional Office within 15 business days.

The staff was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.

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SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 08/25/2022 05:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER

FACILITY NUMBER: 304370971

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2022
Section Cited

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101238 Building and Grounds (a) The Child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement not met as evidence by:
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Based on lab report analysis water from faucet E (10.0 parts per billion). These faucets samples taken on 05/06/2022 indicate levels of lead in exceedance.
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Reusable pitchers of water from the other PASS sinks readily available for the staff and children. Director stated that she will submit new restest results to LPA via email to dianna.valdezsantana@dss.ca.gov. In addition facility provides bottled water for children to drink.

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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: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Dianna ValdezSantanaTELEPHONE: 714-292-8628
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2022
LIC809 (FAS) - (06/04)
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