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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566212346
Report Date: 05/11/2020
Date Signed: 05/11/2020 06:39:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTER SVFACILITY NUMBER:
566212346
ADMINISTRATOR:TERESA LOVE-AMANDEFACILITY TYPE:
830
ADDRESS:1080 COUNTRY CLUB DRIVE WESTTELEPHONE:
(805) 582-0562
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93065
CAPACITY:40CENSUS: 0DATE:
05/11/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
05:36 PM
MET WITH:Scott EdmistonTIME COMPLETED:
05:45 PM
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 May 11, 2020 at 5:30 PM, Licensing Program Analyst (LPA) Francisco Pedroza made an unannounced telephone call to conducted a Case Management inspection. LPA met with District Manager Scott Edmiston and advised him the purpose of the inspection. LPA advised District Manager that due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, a tele-inspection will occur. There were no children in care at the time of the inspection due to the facility is currently closed for COVID-19 precautions.
On February 20, 2020 at 11:34 AM, LPA determined through the course of a complaint investigation that Community Care Licensing (CCL) was not informed of an unusual incident that occurred at the facility. LPA advised Director that the nature of the complaint was considered an unusual incident that is required by regulation, CCL must be informed within 24 business hours of the incident. Director advised that she understood. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 809D.

A closing interview was conducted with District Manager. District Manager was provided and advised of their right to appeal. A copy of this report was reviewed and provided to the District Manager via email. The delivered/read receipt confirmation from email will be in lieu of his signature once he received the report. LPA requested a signed copy be provided to Community Care Licensing.
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2020
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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER SV
FACILITY NUMBER: 566212346
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/29/2020
Section Cited

1
2
3
4
5
6
7
(d) Upon the occurrence... following the occurrence of such event.
(1) Events reported ... following:
(C) Any unusual incident or child absence ... health or safety of any child. This requirement was not met evidence by:
8
9
10
11
12
13
14
Based on LPA's observations, interviews, and records. The facility failed to notify CCL of the incident that occurred where a child managed to wander outside the facility without staff supervision. This poses a potential Health and Safety risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: George MingleTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco PedrozaTELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:
DATE: 05/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/11/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2