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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817887
Report Date: 01/16/2024
Date Signed: 01/16/2024 04:15:39 PM

Document Has Been Signed on 01/16/2024 04:15 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
364817887
ADMINISTRATOR:RAMONA SALAZARFACILITY TYPE:
850
ADDRESS:10420 ALTA LOMA DR.TELEPHONE:
(909) 484-8899
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91737
CAPACITY: 144TOTAL ENROLLED CHILDREN: 66CENSUS: 51DATE:
01/16/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ramona Salazar, DirectorTIME COMPLETED:
04:25 PM
NARRATIVE
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On January 16, 2024, Licensing Program Analysts (LPAs) Taityana Benson and Raymond Moorehead arrived at the facility to conclude the investigation in a separate matter, a previous inspection was conducted on October 24, 2023. LPAs met with Ramona Salazar, Director,
and conducted a tour of the facility inside and outside.

During interviews, it was revealed that on October 11, 2023, preschool children were transitioning from one classroom to another classroom and a child remained in the hallway alone without direct staff supervision for an undetermined amount of time. It was discovered during record review, the facility documented the incident on the Unusual Incident/Injury Report (UIR), LIC624 dated October 12, 2023. The facility did not contact the department via telephone or email to report the incident. Furthermore, the facility did not inform their assigned Licensing Program Analyst or the subject child’s parent(s) of the incident. The Director stated the UIR was submitted to the department via fax but does not recall the date nor has confirmation of submission. The department does not have a record of the facility submission of the UIR for the incident that occurred on October 11, 2023, Furthermore, it was disclosed that the subject child’s parent(s) became aware of the incident during the investigation.


SEE LIC809-D for Type A deficiency cited

An exit interview was conducted, and report was reviewed with Ramona Salazar, Director.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2024
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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Document Has Been Signed on 01/16/2024 04:15 PM - It Cannot Be Edited


Created By: Taityana Benson On 01/16/2024 at 03:38 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: 364817887

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2024
Section Cited
CCR
101212(d)

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Upon the occurrence, during the operation of the...center of any of the events... a report shall be made to the Department by telephone or fax within...next working day and during its normal business hours...a written report...shall be submitted...within seven days following the occurrence of such event.
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Director agrees to complete a detail Unusual Incident Injury/Report, LIC624 for the incident that occurred on 10/11/2023 and submit it to the department via fax (951) 782-4985 or via email:
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Based on interviews and record review, the Licensee did not comply with the section cited above, Licensee did not submit a report to the department when a child in care was not supervised during nap time transition, which poses a potential Health and Safety, Personal risks to persons in care.
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UnusualIncidentReportsDO09@dss.ca.gov by 01/19/2024 and provide proof to LPA via email by COB 01/19/2024.

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Taityana Benson
LICENSING EVALUATOR SIGNATURE:
DATE: 01/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/16/2024


LIC809 (FAS) - (06/04)
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