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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370971
Report Date: 01/13/2023
Date Signed: 01/13/2023 04:44:59 PM


Document Has Been Signed on 01/13/2023 04:44 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:
01/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Dana Kasparian - DirectorTIME COMPLETED:
05:00 PM
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An unannounced case management inspection was conducted on this date by Licensing Program Analyst (LPA) Carmen Odom in response to a self-reported incident dated 1/11/23. Present during today’s inspection was the Director, Dana Kasparian. Census was taken in individual classrooms. The overall census observed was 16 school age children and 2 school age staff.

A review of adult records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 01/11/2023 an Unusual Incident Report was filed with the Department to self-report an incident that occurred on 01/4/2023. Director reported on 01/03/2023 Child #1 (C1) disclosed to Parent #1 (P1) that Child #2 (C2) had touched C1 on their private area. Director made a report to CPS.

During today's inspection LPA interviewed 2 staff members and 2 children. None of the children disclosed that C1 was touched on their private area. C1 disclosed that C2 has kissed C1 on the lips at the elementary school. Staff #2 (S2) stated they have never observed C2 hug, kiss, or touch C1 while in care. S2 disclosed there has been a couple times when a child came to S2 and told them that C2 attempted to kiss them, and S2 spoke to C2 regarding inappropriate affection with their friends. Director (S1) stated they conducted an internal investigation in the childcare center, and it was determined that C2 did not or could have not touched C1 on their private area while in care because C1 disclosed to P1 that the incident occurred on 1/3/23 and C2 was not at the childcare center on 1/3/23. S1 disclosed that on 1/6/23 S1 spoke with Parent #2 (P2) regarding C2 attempting to kiss their friends in the childcare center. S1 stated since the incident they have placed an additional school age staff in the classroom to shadow C2 at all times. In the course of the investigation, it was discovered that S1 did not report the incident to licensing office in a timely manner, a phone call within 24 hours of the incident and in writing within 7 days. Therefore, facility is being cited.

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SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023
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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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: 01/13/2023
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California Code of Regulations, Title 22, Division 12, Chapter 1, Reporting Requirements 101212(d)(1)(E) d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (E) Epidemic outbreaks. is being cited on the attached LIC 809D

Exit interview was conducted. Notice of Site Visit was posted during the visit. Director was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/13/2023 04:44 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: 01/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/13/2023
Section Cited

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Reporting Requirements 101212(d)(1)(C ): (d)Upon the occurrence... (d)(1) below, a report shall be made to the Dept by telephone… within the Department's next working day and during its normal business... a written report containing the information…within seven days following occured... This requirement was not met as evidenced by:
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Director stated they wanted to conduct their internal investigation and get the green light from headquarters before reporting the incident to licensing. Director reported the incident via phone call and sent in the LIC624 on 1/11/23. Director will make sure they report the incident in a timely manner.
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Based on observations and interviews Director did not report the incident in a timely manner to the licensing office. This poses a potential risk to the health and safety to the children in care.
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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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2023
LIC809 (FAS) - (06/04)
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