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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334817944
Report Date: 05/12/2022
Date Signed: 05/13/2022 08:53:45 AM

Document Has Been Signed on 05/13/2022 08:53 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:
334817944
ADMINISTRATOR:SHERRI MORGANFACILITY TYPE:
830
ADDRESS:1214 MAGNOLIA AVE. #101TELEPHONE:
(951) 736-5267
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 17DATE:
05/12/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Sherri Morgan, DirectorTIME COMPLETED:
02:55 PM
NARRATIVE
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On 05/12/2022 at 2:00PM, a case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 05/09/22. It indicates that staff dragged an infant by the arm across the room.

Facility records including video footage were reviewed, and staff interviews were conducted with the Director and Regional Manager. Interviews revealed facility completed personal rights and care and supervision retraining; conducted a meeting with the parent, addressed HR policies/procedures with staff as required and scheduled an additional in-service training for staff on 05/13/2022. Based on the information gathered, the following violations have been identified:


CCR 101223(a)(1) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.
See LIC809D for cited deficiencies of the California Code of Regulations, Title 22, Division 12.

LPA, Giselle Carbullido informed facility representative Sherri Morgan that this report dated 05/12/2022document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is an immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Carbullido informed the facility representative Sherri Morgan to provide a copy of this licensing report dated 05/12/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. An exit interview was conducted, appeal rights discussed, and a copy of this report and notice of site visit was provided to the facility Director, Sherri Morgan.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2022
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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Document Has Been Signed on 05/13/2022 08:53 AM - It Cannot Be Edited


Created By: Giselle Carbullido On 05/12/2022 at 02:14 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: TUTOR TIME CHILD CARE/LEARNING CENTER

FACILITY NUMBER: 334817944

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/13/2022
Section Cited
CCR
101223(a)(1)

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101223(a)(1) Personal Rights: a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by:
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Facility will complete training on responsibility for care and supervision and personal rights in accordance with CCR Title 22 Division regulations for all teachers. Facility will submit proof of training to the Department by the close of business day, 5/13/2022.
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Based on staff interviews and video footage review, the facility did not accord dignity to a child in their personal relationships when staff moved a child by dragging them by the arm across the room. This is an immediate health and safety risk to children in care.
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Facility agrees to provide this report, cited deficiency and other pertinent documents issued by the department to the parent(s) of children in care within 24 hours or the next time in care; this includes all newly enrolled children over the next 12 months.

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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:Gilbert Sena
LICENSING EVALUATOR NAME:Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2022


LIC809 (FAS) - (06/04)
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