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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817886
Report Date: 01/27/2022
Date Signed: 01/27/2022 10:12:54 AM

Document Has Been Signed on 01/27/2022 10:12 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:
364817886
ADMINISTRATOR:MYRNA ARELLANOFACILITY TYPE:
850
ADDRESS:7390 ELLENA WESTTELEPHONE:
(909) 948-8311
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 43DATE:
01/27/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Myrna Arellano/DirectorTIME COMPLETED:
10:40 AM
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On 1/27/2022 at 11:25 am, Licensing Program Analyst (LPA), Patricia Berry conducted a case management incident investigation regarding an Unusual Incident Report reported on 12/22/21.

It was reported while playing a game called “save me” a child’s arm was fractured. It was reported the child was on the top of the slide, getting ready to slide down and another child came and held the child's arm to “save the child”. LPA interviewed children, staff and parent. During children interviews it was discovered the children were playing a game called "save me”. A child would slide down the slide and another child would try and save the child before the child gets completely down the slide. Children interviews revealed child #1 (C1) was at the top of the slide getting ready to slide down and shouted, "save me" and child #2 (C2) went to save C1 as C1 started sliding down the slide. C2 grabbed ahold of the C1’s arm. C1 slide down the slide and when C1 was down the slide, C1 told the teacher what happened. During children interviews it was revealed the teacher was standing right by the slide when the incident occurred. Staff interviews revealed the children were playing a game, and C2 tried to save C1 at the top of the slide. C2 held on to C1’s arm as C1 was trying to slide down the slide. Staff revealed C1 told the teacher what happened, the teacher assessed C1 and there did not seem to be any first aid needed at the time. Staff stated C1’s caregiver came for C1 approximately eight minutes later. Staff stated they learned the next day C1 had an arm fracture. Parent interviewed revealed the incident to be an accident. The parent expressed the love for the school and knows their children are well taken care of. Parent stated the children were playing a game and that is how the incident occurred.

(Cont on 809C)
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CENTER
FACILITY NUMBER: 364817886
VISIT DATE: 01/27/2022
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Based on the information obtained, the incident appears to be an accident, therefore there at this time there is no violation of Title 22 regulations.


Exit interview conducted with director Myrna Allellano., report, appeal rights and notice of site visit provided to director.

Notice of Site Visit must be posted for 30 days.


This report must be made available to the public for three years.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022
LIC809 (FAS) - (06/04)
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