<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817889
Report Date: 11/08/2022
Date Signed: 11/08/2022 10:01:16 AM


Document Has Been Signed on 11/08/2022 10:01 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 CENTERFACILITY NUMBER:
364817889
ADMINISTRATOR:RAMONA SALAZARFACILITY TYPE:
830
ADDRESS:10420 ALTA LOMA DRIVETELEPHONE:
(909) 484-8899
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91737
CAPACITY:22CENSUS: 12DATE:
11/08/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Ramona Salazar/licenseeTIME COMPLETED:
10:30 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 11/8/22 at 9:15 am, Licensing Program Analyst (LPA) Patricia Berry conducted a follow up on case management incident report. LPA was granted access into the facility and met the director. LPA toured facility and took a census. No deficiency cited.


Exit interview conducted with director, report appeal rights and Notice of Site Visit issued.

Notice of Site Visit must be posted for 30 days.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2022
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 1