334817943-7-29-2022-09-CC-GCAO-CGSN9W-20220729101637

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334817943
Report Date: 07/29/2022
Date Signed: 07/29/2022 10:16:43 AM

Document Has Been Signed on 07/29/2022 10:16 AM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	TUTOR TIME CHILD CARE/LEARNING CENTER		FACILITY NUMBER:	334817943
ADMINISTRATOR:	SHERRI MORGAN		FACILITY TYPE:	840
ADDRESS:	1214 MAGNOLIA AVE. #101		TELEPHONE:	(951) 736-5267
CITY:	CORONA	STATE: CA	ZIP CODE:	92881
CAPACITY:	70	CENSUS: 14	DATE:	07/29/2022
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Nichelle Dickerson- Assistant Director		TIME COMPLETED:	10:15 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On the date and time listed above, a case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 07/15/22. It indicates a child slipped and fell during outside water play resulting in an injury to the wrist. Facility records were reviewed, and interviews were conducted with Assistant Director, Staff and children. According to staff and Director interviews conducted, There were 28 children present with 2 staff. Children were playing basketball and others were at water play on the grass. Staff stated the rule is they can only walk through the sprinkler and have change of shoes/clothes. Rules are reviewed before and during the activity. The child ran from the basketball area and fell resulting in a swelling of the wrist. Assistant Director and Staff assisted the child up and walked with them to the office. Child reported to the Assistant Director they ran and when falling tried to catch themselves. Parent was called for pick up and child was provided first aid of ice for swelling and a sling. Parent notified facility of fractured wrist. Child has returned to the facility. LPA conducted 4 children interviews which disclosed the following: Rules for water play are walk only through the sprinkler, have water shoes and change of clothes and towel. Children are allowed to walk through when it is hot. Teachers tell the children to walk through the water one at a time for safety because water can make the ground slippery. Children identified not listening to the teacher and running as the main reason child fell and hurt their wrist. Children stated they are reminded of the rules before and during any outdoor activity.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER	FACILITY NUMBER: 334817943
	VISIT DATE: 07/29/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA toured and obtained photos of the facility play yard. At 8:50AM, LPA did not observe any hazards present from the basket ball area to the grass area.

Based on information gathered from interviews and records, the facility acted appropriately, and no violations have been identified. Facility completed reporting requirements as required by CCR regulations for UIRS (Telephone notification to Duty Officer and submission of LIC624) to the Department of Social Services. Facility contacted parent for additional medical follow up, provided safety rules during outdoor activity and maintained staff to children ratios for supervision.

An exit interview was conducted, and LPA Carbullido provided the Assistant Director with a copy of this report, appeal rights and notice of site visit during today’s visit.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2