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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370256
Report Date: 06/04/2024
Date Signed: 06/04/2024 10:57:15 AM


Document Has Been Signed on 06/04/2024 10:57 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
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
304370256
ADMINISTRATOR:MARY JOY HILSABECKFACILITY TYPE:
850
ADDRESS:24291 AVILA ROADTELEPHONE:
(949) 831-8887
CITY:LAGUNA NIGUELSTATE: CAZIP CODE:
92677
CAPACITY:194CENSUS: 57DATE:
06/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:MaryJoy Hilsabeck (Director)TIME COMPLETED:
11:15 AM
NARRATIVE
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On June 4, 2024 , Licensing Program Analyst (LPA) Vivian Trinh conducted an unannounced visit due to a self-report Unusual Incident Report (UIR) received on 03/26/2024. The UIR stated that on March 25, 2024, during the transition from lunch to nap time, Child 1 (C1) was left alone in the Pre-K classroom for approximately 7 minutes. Staff 2 (S2) was the one who noticed that C1 was left alone in the Pre-K classroom without supervision.

This is a continuation of the investigation initiated on 04/12/2024. LPA met with Director MaryJoy Hilsabeck. A tour of the facility was conducted, and a census was taken. Observed at the time of the visit was a total 57 children with 11 staff.

A review of the Facility Personnel Report Summary on April 12,2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the inspection on 4/12/2024, LPA interviewed the Center Director, 3 staff, and parents involved in the incident. LPA also inspected the PreK classroom where C1 was left alone. LPA reviewed the Incident Report with the facility representative as well as the response of the facility.

During the interview, Director informed LPA incident happened on 03/25/2024 at approximately 12:25pm during the transition period from PreK classroom to TK classroom for napping. LPA interviewed S2 who stated on 3/25/24, after lunch time, S2 went into the Pre-K classroom to get more sheets and blanket and noticed C1 was in the classroom alone. S2 immediately took C1 to the director. The director and District manager reviewed the cameras and confirmed C1 was left alone for about 7 minutes. C1 was returned safely to the teacher by director who had a conversation with the staff involved.

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SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Vivian TrinhTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370256
VISIT DATE: 06/04/2024
NARRATIVE
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Director held all staff meeting and training related to incident on April 11, 2024. Transition procedures, name-to-face procedures, and supervision requirements were reviewed with all staff and confirmed were understood. The staff member involved in the incident were terminated on 3/27/2024.

Per self reported incident report and interview with director, MaryJoy Hilsabeck, it was determined the facility failed to provide visual supervision of a child in care, therefore, California Code of Regulations, Title 22, Division 12, Section 1014229(a)(1)- Responsibility for Providing Care and Supervision is being cited on the attached LIC 809D.

This report cites Type A violation and shall be provided to parents/guardians of children currently enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted with Director, MaryJoy Hilsabeck. Notice of Site Visit was posted during the inspection. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights LIC 9058 (03/2022) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

End of Report

SUPERVISOR'S NAME: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Vivian TrinhTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/04/2024 10:57 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868


FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER
FACILITY NUMBER: 304370256

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/04/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision: No child (ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. This requirement is not met as evidence by: Based on self-report UIR and staff interview conducted on 4/12/24, C1 was left alone without any adult supervision. This pose an immediate risk to the health of the children in care.
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The Center Director in charge stated that S3 had been terminated regarding the procedure for absent calls. Director agrees to send a plan of correction for how this incident will be prevented in the future. The plan of correction will be sent by the due date.
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Based on interviews and statements from Director and HR, S3 failed to supervise a child from Pre/K to T/K room. This poses an immediate risk to the health and safety of the children in care..
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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: Patricia MaganaTELEPHONE: (714) 743-5149
LICENSING EVALUATOR NAME: Vivian TrinhTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/04/2024
LIC809 (FAS) - (06/04)
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