566212346-5-11-2020-17-CC-GMIE-BPJM3M-20200512091519

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 566212346
Report Date: 05/11/2020
Date Signed: 05/11/2020 06:34:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/11/2020 and conducted by Evaluator Francisco Pedroza

PUBLIC

COMPLAINT CONTROL NUMBER: 17-CC-20200211084942

FACILITY NAME:	TUTOR TIME CHILD CARE/LEARNING CENTER SV		FACILITY NUMBER:	566212346
ADMINISTRATOR:	TERESA LOVE-AMANDE		FACILITY TYPE:	830
ADDRESS:	1080 COUNTRY CLUB DRIVE WEST		TELEPHONE:	(805) 582-0562
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	40	CENSUS: 0	DATE:	05/11/2020
		UNANNOUNCED	TIME BEGAN:	05:17 PM
MET WITH:	Scott Edmiston		TIME COMPLETED:	05:35 PM

ALLEGATION(S):

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Neglect/Lack of Supervision - Child wandered away from the facility

INVESTIGATION FINDINGS:

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On May 11, 2020 at 5:17 pm, Licensing Program Analyst (LPA) Francisco Pedroza made an unannounced telephone call to conclude a complaint investigation. LPA met with District Manager (DM) 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.

Allegation stated the facility had a lack of supervision resulting in a child wandering out of the facility. LPA conducted one unannounced inspection and toured the facility inside and out. The second inspection was conducted via tele-inspection. During the course of the investigation, LPA conducted staff interviews, reviewed staff files, and children files. Interviews with the facility staff and Reporting Party (RP) confirmed a child had wandered out of the classroom and facility front door.
Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (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.

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20200211084942

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
	VISIT DATE: 05/11/2020

NARRATIVE

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On February 11, 2020 at or around 7:30 AM, a door was propped open allowing a child less than three years old to wander out of the facility without staff knowledge. A parent found the child at a plantar about five feet away from the parking lot. The plantar was about 12 to 15 feet away from the facility door. The parent picked up the child after confirming she was not with the nearby adults. When in the lobby the facility Director acknowledged the child belonged to her. Interviews confirmed the incident occurred for a duration of about 25-30 seconds. Resulting in an absence of supervision for the child.

Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.

A closing interview was conducted with District Manager. District Manager was provided and advised of their right to appeal. LPA explained the facility's required plan of correction. District Manager was provided the Acknowledgement of Receipt (LIC 9224). Parents shall receive a copy of 9099, 9099C, and 9099D. Each parent/guardian shall sign an LIC 9224 with copies maintained in each child's file. Every parent enrolling a new child in the infant/toddler program shall receive a copy of the report and sign a LIC 9224 for the next twelve months. 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 Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (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

LIC9099 (FAS) - (06/04)

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Control Number 17-CC-20200211084942

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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)
Request Denied Type A 05/29/2020 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	(a) The licensee shall provide care and supervision ... meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, … Supervision shall include visual observation. This requirement was not met evidence by:	1 2 3 4 5 6 7	Facility director will submit a written plan of correction stating measures to be taken in order to follow Title 22 Regulations and avoid another incident involving a child being without supervision by 05/29/2020 via fax (805) 685-1820, mail, or email to francisco.pedroza@dss.ca.gov.
	8 9 10 11 12 13 14	Based on LPA's observations and interviews. A child managed to wander outside of the facility without staff supervision resulting in a parent/stranger returning the child. This poses an immediate 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
	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 Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (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

LIC9099 (FAS) - (06/04)

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