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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817904
Report Date: 12/05/2022
Date Signed: 12/05/2022 06:07:49 PM

Document Has Been Signed on 12/05/2022 06:07 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:TUTOR TIME CHILD CARE/LEARNING CENTERFACILITY NUMBER:
364817904
ADMINISTRATOR:FRAZEE, ANNALEEFACILITY TYPE:
850
ADDRESS:14273 BASELINE ROADTELEPHONE:
(909) 350-2422
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY: 142TOTAL ENROLLED CHILDREN: 142CENSUS: 32DATE:
12/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Annalee Frazee Director TIME COMPLETED:
06:00 PM
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Due to required lead testing requirements, Licensing Program Analyst (LPA), Diana Brasel conducted a Case Management inspection based on lead testing results received from the facility. LPA Brasel toured the facility, took census and met with Director to further discuss lead results received and measures taken for remediation of lead exceedances.

During the inspection, LPA toured and obtained photos of the water outlets identified on the sketch and report. Per results 5 sinks exceeded the required specs, all 5 sinks had the faucets replaced, they were retested, resulting in 4 out of the 5 still exceeded the required levels. Filters have been installed in the sink cabinets and the facility is waiting for the new testing results. Per sketch sink AB and AA are located in the 2 year old classroom, both have new faucets and AB has a filter. Sink P is located in the infant restroom, not being used, M is located in the staff lounge, and S is located in the toddler restroom, not used. New faucets and filters have been installed on the sinks identified as P, M, and S.

Facility implemented the following plan of action until formal remediation can be completed on water outlets: The outlets have been covered until retesting results have been obtained. Facility has access to additional sinks.

Due to facility water outlets testing above approved lead levels, a deficiency has been cited.


See LIC809D.

continued on LIC 809C:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2022
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: 364817904
VISIT DATE: 12/05/2022
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Additionally, the following resources were discussed and provided from PIN 21-21-CCP dated July 28, 2021:

101700.6 Grant Funding for Qualifying Child care Centers

(a) Senate Bill 862, Chapter 449, Statutes of 2018 allocated $5 Million to the State Water Resources Control Board for testing and remediation of lead in the drinking water of Child Care Centers based on the following criteria:

(1) Those that serve children zero to five years of age, with the highest priority for Child Care Centers that provide care for children zero to three years of age.

(2) Those that have 50 percent or more of their registered children who receive subsidized care.

(3) Those that operate only one facility.

(b) To determine a Child Care Center’s eligibility for possible funding the Department will provide access to a link to an online eligibility form located on the Department’s website and on Sacramento State’s Office of Water Programs website.

(1) A Child Care Center interested in financial assistance shall complete the eligibility form, which shall include instructions for completing and returning it, prior to receiving any grant funding for which it may qualify. To determine a Child Care Center’s eligibility for possible funding, the provider will need to complete an online eligibility form available at Office of Water Programs’ website

An exit interview was conducted, and appeal rights discussed. A copy of this report was provided to the Director, appeal rights and notice of site visit.

This report must be made available to the public upon request for three years.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/05/2022 06:07 PM - It Cannot Be Edited


Created By: Diana Brasel On 12/05/2022 at 05:47 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: 364817904

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/05/2023
Section Cited

101700.3(b)(1)

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California Lead Action Level at Child Care Centers
101700.3 (b)(1): A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement is not met as evidence by:
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Facility will implement a plan of action to prevent usage of the 5 identified faucets until the retested results are at or below the Action level. The facility willl notify CDSS with completion within 30 days.
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Based on records review of required lead testing, the facility had lead values of 5.5 or above on 5 sink outlets : This is a potential health and safety risk to persons 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:Gilbert Sena
LICENSING EVALUATOR NAME:Diana Brasel
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2022


LIC809 (FAS) - (06/04)
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