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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334817943
Report Date: 07/07/2023
Date Signed: 07/07/2023 04:30:33 PM


Document Has Been Signed on 07/07/2023 04:30 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
334817943
ADMINISTRATOR:SHERRI MORGANFACILITY TYPE:
840
ADDRESS:1214 MAGNOLIA AVE. #101TELEPHONE:
(951) 736-5267
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY:70CENSUS: 45DATE:
07/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Director Joelle CourtneyTIME COMPLETED:
04:45 PM
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On 07/07/2023 at 09:20AM, Licensing Program Analysts (LPAs) Perla Ordones and Claudia Caywood arrived at the facility for the purposes of investigating an Unusual Incident Report (UIR) that was submitted to Community Care Licensing on 06/23/2023. LPAs were granted entry into the facility by Director Joelle Courtney. LPAs explained the purpose of today's inspection, completed a facility tour, and obtained census.

During the facility tour, LPAs made observations, reviewed pertinent documentation, and conducted interviews with pertinent parties related to the self-reported incident.

It was reported that on or about 06/22/2023, the subject child had shown symptoms similar to that of an allergic reaction upon pickup at 05:31PM which the authorized representative brought to the Director’s attention. The subject child was provided medication by the facility and returned to care on 06/26/2023. During interviews, it was disclosed that a staff member had been eating homemade lunch inside the classroom and had allowed seven children to sample the food. According to pertinent parties, the subject child was not among the seven children who sampled the food. Another staff member in the classroom had made note that the food may have contained peanuts and the staff put the food away. The subject child was stated to have been fine throughout the day and did not alert teachers to any breathing problems or immediate concerns. It was stated that all authorized representatives of the children who consumed the food as well as the subject child’s authorized representative were all informed of the incident and were made aware that a staff was terminated because of the incident.

Based on information obtained during this visit, there appeared to be no violation of Title 22 regulations pertaining to the reported incident at this time. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Joelle Courtney.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Perla OrdonesTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/07/2023
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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