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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419295
Report Date: 02/16/2024
Date Signed: 02/16/2024 05:52:38 PM

Document Has Been Signed on 02/16/2024 05:52 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:TUTOR TIME CHILD CARE LEARNING CENTERSFACILITY NUMBER:
197419295
ADMINISTRATOR:SERRANO, ANGIEFACILITY TYPE:
850
ADDRESS:23041 NEWHALL RANCH ROADTELEPHONE:
(661) 263-2655
CITY:SANTA CLARITASTATE: CAZIP CODE:
91350
CAPACITY: 112TOTAL ENROLLED CHILDREN: 112CENSUS: 60DATE:
02/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Angie Serrano, DirectorTIME COMPLETED:
05:52 PM
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On 2/16/2024, at 03:00 p.m., Licensing Program Analyst (LPA)Isabel Ortega conducted an unannounced Case Management Incident inspection and met with facility Director Angie Serrano. LPA disclosed the purpose of the inspection and was granted entry into the facility. At the time of the inspection 60 children were present and nine staff providing care and supervision.

The purpose of the inspection was to follow up on a self reported unusual incident report (UIR) which occurred on January 24, 2024 at the facility. The Department was notified of the UIR on 1/24/2024. According to the UIR, there was an odor coming from the lounge room next to the teacher's break room. The odor was enclosed in the staff room by the double doors and the ceiling open vent was kept open. Poison control was contacted twice and went over urgent signs and symptom to evaluate staff and children. Staff #4 completed a walk through of the facility and reported back to the Director. Staff #3 evaluated staff symptoms according to the instructions provided by the poison control. Some staff only reported headaches and no children were affected. Per staff #3's interview, the Fire Department/paramedics cleared the facility about 2:00 p.m. No toxic chemicals were present at the facility and facility was deemed safe to operate.

LPA completed a safety inspection of the facility including three classrooms and the staff lounge. During today's inspection, LPA interviewed staff members, completed a walk through the facility. No further investigation is required. No deficiencies were observed.

An exit interview was conducted, a copy of this report, and notice of site visit were provided to the facility Director.

SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2024
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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